Individual
CORY LOGAN DONAHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
300 CENTER AVE, WAYNESBURG, PA 15370-8243
(724) 852-2020
Mailing address
208 ARN AVE, TILTONSVILLE, OH 43963-1102
(740) 381-5105
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP008892
PA
Other
Enumeration date
03/28/2019
Last updated
03/28/2019
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