Provider Demographics
NPI:1922498237
Name:DONOHOE, ELIZABETH PAIGE (ATC)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:PAIGE
Last Name:DONOHOE
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 BROOK ST
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01944-1146
Mailing Address - Country:US
Mailing Address - Phone:978-609-1414
Mailing Address - Fax:
Practice Address - Street 1:44 BROOK ST
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:MA
Practice Address - Zip Code:01944-1146
Practice Address - Country:US
Practice Address - Phone:978-609-1414
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-26
Last Update Date:2015-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAAH-1077-AT2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer