Individual
MRS. KELLY ANN DONAGHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
30 ANGELO ST, WORCESTER, MA 01604-1902
(999) 999-9999
Mailing address
30 ANGELO ST, WORCESTER, MA 01604-1902
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1310
MA
Other
Enumeration date
08/06/2008
Last updated
06/27/2012
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