Healthcare Provider Details

I. General information

NPI: 1780506808
Provider Name (Legal Business Name): LEDONNA R HUSBAND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DONNA HUSBAND MSOT OTRL

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 W CHISHOLM ST
ALPENA MI
49707-1401
US

IV. Provider business mailing address

5248 PHEASANT RUN DR APT 8
SAGINAW MI
48638-6354
US

V. Phone/Fax

Practice location:
  • Phone: 989-356-7248
  • Fax:
Mailing address:
  • Phone: 678-637-0015
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number5201014588
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: