MS. Donna Ann Lake, O.T.R.

NPI #1306974241 in Santa Fe, New Mexico

Provider Information

NPI Number
1306974241
Entity Type
Individual
Name
MS. Donna Ann Lake, O.T.R.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapist
Credential
O.T.R.
Enumeration Date
Mar 1, 2007
Last Updated
Jul 9, 2007

Practice Location

Address
1300 CAMINO SIERRA VIS
Address 2
BF YOUNG CENTER
ZIP Code
87505-1007
Phone
(505) 954-2504

Specialties & Taxonomy Codes

Specialty
Occupational Therapist

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