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Individual

SUSAN ANN DONNELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
56 WEST FREDERICK STREET, WALKERSVILLE, MD 21793
(301) 898-4320
Mailing address
25220 MILITARY ROAD, CASCADE, MD 21719
(240) 367-1524

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A00608
MD
224Z00000X
Occupational Therapy Assistant
OP002539L
PA

Other

Enumeration date
04/14/2016
Last updated
04/14/2016
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