Provider Demographics
NPI:1750654943
Name:VEILLEUX, DONNA IRENE
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:IRENE
Last Name:VEILLEUX
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:79 WRIGHT RD
Mailing Address - Street 2:
Mailing Address - City:ELDRED
Mailing Address - State:PA
Mailing Address - Zip Code:16731-3329
Mailing Address - Country:US
Mailing Address - Phone:814-225-4265
Mailing Address - Fax:
Practice Address - Street 1:1 KING ST
Practice Address - Street 2:
Practice Address - City:BELFAST
Practice Address - State:NY
Practice Address - Zip Code:14711-8682
Practice Address - Country:US
Practice Address - Phone:585-365-8285
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-17
Last Update Date:2012-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008099-1224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant