Individual
CHERYL ANN DONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
535 DECKER RD, GLEN SPEY, NY 12737-5756
(845) 856-4905
Mailing address
535 DECKER RD, GLEN SPEY, NY 12737-5756
(845) 856-4905
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008569-1
NY
Other
Enumeration date
08/07/2019
Last updated
08/07/2019
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