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Individual

MRS. LAURA ANN DONOVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
101 E REDLANDS BLVD STE 215, REDLANDS, CA 92373-4724
(909) 793-1078
(909) 335-7330
Mailing address
101 E REDLANDS BLVD STE 215, REDLANDS, CA 92373-4724
(909) 793-1078
(909) 335-7330

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT7864
CA

Other

Enumeration date
02/20/2015
Last updated
12/14/2017
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