Provider Demographics
NPI:1558513069
Name:O'SHEA, DONNA MARY (PT)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:MARY
Last Name:O'SHEA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3007 OCEAN HEIGHTS AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:EGG HARBOR TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08234-7749
Mailing Address - Country:US
Mailing Address - Phone:609-601-9555
Mailing Address - Fax:609-601-9551
Practice Address - Street 1:3007 OCEAN HEIGHTS AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:EGG HARBOR TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08234-7749
Practice Address - Country:US
Practice Address - Phone:609-601-9555
Practice Address - Fax:609-601-9551
Is Sole Proprietor?:No
Enumeration Date:2008-10-15
Last Update Date:2008-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00603600225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist