Individual
BRYNN M DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
628 LYNNE DR, SOUTHAMPTON, PA 18966-3515
(215) 322-1697
Mailing address
628 LYNNE DR, SOUTHAMPTON, PA 18966-3515
(215) 322-1697
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
OC009936
PA
225X00000X
Occupational Therapist
Primary
OC009936
PA
Other
Enumeration date
05/12/2007
Last updated
05/16/2012
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