Provider Demographics
NPI:1528655461
Name:REED-OLIVER, DONNA (OTR/L, OTD)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:
Last Name:REED-OLIVER
Suffix:
Gender:F
Credentials:OTR/L, OTD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1654 KING ST UNIT 6
Mailing Address - Street 2:
Mailing Address - City:ENFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06082-6047
Mailing Address - Country:US
Mailing Address - Phone:475-219-0013
Mailing Address - Fax:
Practice Address - Street 1:1654 KING ST
Practice Address - Street 2:
Practice Address - City:ENFIELD
Practice Address - State:CT
Practice Address - Zip Code:06082-6000
Practice Address - Country:US
Practice Address - Phone:475-219-0013
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-27
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT4095225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist