Individual
MATTHEW DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
3374 FRANKLIN AVE, MILLBROOK, NY 12545-5969
(845) 677-3251
Mailing address
30 KELSEY RD APT 3, POUGHKEEPSIE, NY 12601-1662
(845) 741-3008
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
010691
NY
Other
Enumeration date
04/20/2022
Last updated
04/20/2022
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