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NPI Code Detail

MEDICARE: SIOBHAN DONOHUE OTR/L

MEDICARE:   SIOBHAN  DONOHUE  OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist025189NY

General Provider Information

NPI Number : 1619552973
Entity Type Code : Individual
Provider Name (Legal Business Name) : SIOBHAN DONOHUE OTR/L
Provider Business Mailing Address
First Line : 305 HURLEY AVE APT 6F
Second Line :
City : KINGSTON
State : NY
Zip : 12401-6835
Country : US
Telephone Number : 585-478-2005
Fax Number :
Provider Business Practice Location Address
First Line : 4885 U.S. 9
Second Line :
City : STAATSBURG
State : NY
Zip : 14424-1442
Country : US
Telephone Number : 845-889-4034
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2021
Last Update Date : 03/17/2021

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Directions to “ SIOBHAN DONOHUE OTR/L” Practice Location

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