Provider Demographics
NPI:1871747402
Name:DONNARUMA, LINDA (MS, OTR)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:
Last Name:DONNARUMA
Suffix:
Gender:F
Credentials:MS, OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 DAMASCUS DR
Mailing Address - Street 2:
Mailing Address - City:GANSEVOORT
Mailing Address - State:NY
Mailing Address - Zip Code:12831-1454
Mailing Address - Country:US
Mailing Address - Phone:518-369-8496
Mailing Address - Fax:
Practice Address - Street 1:31 DAMASCUS DR
Practice Address - Street 2:
Practice Address - City:GANSEVOORT
Practice Address - State:NY
Practice Address - Zip Code:12831-1454
Practice Address - Country:US
Practice Address - Phone:518-369-8496
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-10
Last Update Date:2008-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003525-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist