Donoghue, Krystina Gloria

Donoghue, Krystina Gloria is an individual health care provider with primary practice located at 1509 State St , La Porte IN 46350-3115. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Donoghue, Krystina Gloria can be contacted via phone (219) 325-4649.

Contact Information

Primary practice address
1509 State St La Porte IN 46350-3115
Phone: (219) 325-4649
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 31006084A Indiana

Profile Details

NPI number 1104481480
LBN Legal business name Donoghue, Krystina Gloria
Credentials OTRL
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2019
Last updated May 2nd, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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