McKenna Ann Donegon
Occupational Therapist, Pediatrics in Gurnee, IL. Individual provider (NPI-1).
NPI number1073371985
StatusActive
Last updated in NPPESMar 6, 2024
Details
- NPI
- 1073371985
- Entity type
- Individual (NPI-1)
- Name
- McKenna Ann Donegon
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 6, 2024
- Certification date
- Mar 6, 2024
- Last updated
- Mar 6, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225XP0200X | Occupational Therapist, Pediatrics | 056011307 | IL | Yes |
Practice location
17281 W Maple LnGurnee, IL 60031-2764
Phone 920-214-3032
Mailing address
17281 W Maple LnGurnee, IL 60031-2764
Phone 920-214-3032
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