Individual
JENNY DONAHUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
595 MATTESON RD, COVENTRY, RI 02816-5023
(401) 397-5871
Mailing address
595 MATTESON RD, COVENTRY, RI 02816-5023
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
791
RI
Other
Enumeration date
10/11/2007
Last updated
10/11/2007
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