Provider Demographics
NPI:1851099568
Name:FALZONE, DONNA M (OTR/L)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:M
Last Name:FALZONE
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:483 E GLEN CIR N
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92262-3001
Mailing Address - Country:US
Mailing Address - Phone:908-868-4004
Mailing Address - Fax:
Practice Address - Street 1:483 E GLEN CIR N
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262-3001
Practice Address - Country:US
Practice Address - Phone:908-868-4004
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-21
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT22397225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist