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Shayena Donaldson-Fortune, MSOT, OTR/L

Occupational Therapist in Valley Stream, NY. Individual provider (NPI-1).

NPI number1154846871
StatusActive
Last updated in NPPESSep 8, 2021

Details

NPI
1154846871
Entity type
Individual (NPI-1)
Name
Shayena Donaldson-Fortune
Credential
MSOT, OTR/L
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 3, 2017
Certification date
Sep 8, 2021
Last updated
Sep 8, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist013641NYYes

Practice location

100 Lotus Oval N
Valley Stream, NY 11581

Phone 917-569-5129

Mailing address

Po Box 445
Hewlett, NY 11557-0445

Phone 917-569-5129 · Fax 516-792-6803

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