Individual
JENNIFER M DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3995 E MARKET ST, YORK, PA 17402-2773
(717) 757-1227
(717) 757-1353
Mailing address
3 EWELL DR, EAST BERLIN, PA 17316-9307
(717) 259-0860
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OC008176
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0019264400003
MA PROVIDER NUMBER
PA
Enumeration date
10/16/2006
Last updated
07/08/2007
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