Individual
HEATHER DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
157 BALTIMORE ST, CUMBERLAND, MD 21502-2472
(301) 722-3215
Mailing address
157 BALTIMORE ST, CUMBERLAND, MD 21502-2472
(301) 722-3215
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
07542
MD
225X00000X
Occupational Therapist
46TR00542400
NJ
225X00000X
Occupational Therapist
OC011753
PA
Other
Enumeration date
01/25/2011
Last updated
02/18/2015
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