Individual
ELAINE DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3900 CAPITOL MALL DR SW, OLYMPIA, WA 98502-8654
(360) 956-2562
Mailing address
1919 EVERGREEN PARK DR SW, #158, OLYMPIA, WA 98502-5970
(360) 357-6517
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00003241
WA
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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