Individual
JANE DONAGHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
81 MEDICAL VILLAGE DR, NEWPORT, VT 05855-9897
(802) 334-3260
Mailing address
81 MEDICAL VILLAGE DR, NEWPORT, VT 05855-9897
(802) 334-3260
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
073.0000147
VT
224Z00000X
Occupational Therapy Assistant
1999
MA
Other
Enumeration date
06/10/2016
Last updated
06/10/2016
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