Provider Demographics
NPI:1831485176
Name:SEMIONE, DONNA COYLE (COTA)
Entity Type:Individual
Prefix:MS
First Name:DONNA
Middle Name:COYLE
Last Name:SEMIONE
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27901 NARCISO
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92692-2509
Mailing Address - Country:US
Mailing Address - Phone:949-375-5529
Mailing Address - Fax:
Practice Address - Street 1:27901 NARCISO
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92692-2509
Practice Address - Country:US
Practice Address - Phone:949-375-5529
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-24
Last Update Date:2011-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOTA792224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant