Individual
DONNA C ROOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
6488 ALBURTIS RD, MACUNGIE, PA 18062-8487
(610) 421-8100
Mailing address
2222 SULLIVAN TRL, EASTON, PA 18040-7958
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC010289
PA
Other
Enumeration date
04/24/2008
Last updated
04/24/2008
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