Individual
MS. DONNA MARIE JANDL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
55 LOBACKI DR, PETERBOROUGH, NH 03458-1700
(603) 924-1697
Mailing address
55 LOBACKI DRIVE, PETERBOROUGH, NH 03458
(603) 924-1697
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0394
NH
225200000X
Physical Therapy Assistant
0643
NH
Other
Enumeration date
08/18/2010
Last updated
08/18/2010
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