Individual
MS. DEBRA ANN MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 BEADE ST, PLYMOUTH, PA 18651-3107
(570) 779-4235
Mailing address
300 BEADE ST, PLYMOUTH, PA 18651-3107
(570) 779-4235
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC001616L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
N/A
PA
Enumeration date
10/22/2012
Last updated
10/22/2012
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