Individual
ELIZABETH DIANA-ORTIZ DONAHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTAL
Contact information
Practice address
210 TOWN CENTER DR, TROY, MI 48084-1774
(248) 643-8900
(248) 740-3505
Mailing address
47413 HIDDEN MEADOWS DR, MACOMB, MI 48044-3092
(313) 247-7755
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202010003
MI
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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