Individual
BRANDI DONOVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
113 ROUTE 73, VOORHEES, NJ 08043-9573
(856) 809-3561
(856) 809-3573
Mailing address
113 ROUTE 73, VOORHEES, NJ 08043-9573
(856) 809-3561
(856) 809-3573
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TA09093100
NJ
Other
Enumeration date
09/16/2014
Last updated
09/16/2014
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