Individual
DEBRA L DONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1137 HARDSCRABBLE RD, CASSVILLE, NY 13318-1303
(315) 794-9536
Mailing address
1137 HARDSCRABBLE RD, CASSVILLE, NY 13318-1303
(315) 794-9536
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
006042-1
NY
Other
Enumeration date
06/22/2011
Last updated
06/22/2011
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