Individual
DONNA PETKUNAS BYRNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10560 SW STEPHANIE WAY APT 202, PORT SAINT LUCIE, FL 34987-2328
(772) 238-0702
(772) 237-5823
Mailing address
11609 SW HAWTHORNE HILL RD, PORT ST LUCIE, FL 34987-5420
(508) 340-2826
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
8788
MA
225X00000X
Occupational Therapist
Primary
OT23840
FL
Other
Enumeration date
10/01/2010
Last updated
05/09/2023
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