Healthcare Provider Details

I. General information

NPI: 1013830215
Provider Name (Legal Business Name): OLIVIA THERESE DONLEA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5837 WINWOOD DR
JOHNSTON IA
50131-1651
US

IV. Provider business mailing address

115 E WASHINGTON ST
WINTHROP IA
50682-9314
US

V. Phone/Fax

Practice location:
  • Phone: 515-270-1100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number139506
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: