Individual
MISS KATHLEEN MICHELLE DONAHUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
115 DUTCH LANE RD, FREEHOLD, NJ 07728-5500
(732) 431-7420
Mailing address
345 E 76TH ST APT 1C, NEW YORK, NY 10021-2425
(732) 682-7397
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00312200
NJ
Other
Enumeration date
08/17/2007
Last updated
08/17/2007
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