Individual
CHRISTINE DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT
Contact information
Practice address
228 E 116TH ST, NEW YORK, NY 10029-1414
(860) 304-8086
Mailing address
228 E 116TH ST APT 24, NEW YORK, NY 10029-1436
(860) 304-8086
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
027462
NY
Other
Enumeration date
04/10/2023
Last updated
04/10/2023
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