KRYSTINA GLORIA DONOGHUE

LA PORTE, IN
NPI1104481480
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: IN  31006084A)
Enumeration Date2019-05-02
Last Update Date2019-05-02
Business Address
Mrs. KRYSTINA GLORIA DONOGHUE OTRL
1509 STATE ST
LA PORTE, IN 46350-3115
Phone number: 219-325-4649
Mailing Address
Mrs. KRYSTINA GLORIA DONOGHUE OTRL
1007 LINCOLNWAY
LA PORTE, IN 46350-3201
Phone number: 219-325-4649
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