Provider Demographics
NPI:1215574744
Name:ACTON, DONNA LYNN (OT)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:LYNN
Last Name:ACTON
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 BONAIRE DR
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32413-6006
Mailing Address - Country:US
Mailing Address - Phone:850-230-2328
Mailing Address - Fax:
Practice Address - Street 1:2575 HARRISON AVE
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32405-4458
Practice Address - Country:US
Practice Address - Phone:850-872-8484
Practice Address - Fax:850-872-8429
Is Sole Proprietor?:No
Enumeration Date:2019-12-03
Last Update Date:2019-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist