Provider Demographics
NPI:1255583308
Name:DONADIO, KIMBERLY RAE (COTA/L)
Entity type:Individual
Prefix:MRS
First Name:KIMBERLY
Middle Name:RAE
Last Name:DONADIO
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:584 PINE STREET
Mailing Address - Street 2:
Mailing Address - City:WHITMAN
Mailing Address - State:MA
Mailing Address - Zip Code:02382
Mailing Address - Country:US
Mailing Address - Phone:781-210-9092
Mailing Address - Fax:
Practice Address - Street 1:329 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:NORWELL
Practice Address - State:MA
Practice Address - Zip Code:02061-1737
Practice Address - Country:US
Practice Address - Phone:781-843-1860
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-21
Last Update Date:2014-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1477224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant