Provider Demographics
NPI:1770876799
Name:DONAHEY, SHARON (OTR)
Entity type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:
Last Name:DONAHEY
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 970
Mailing Address - Street 2:
Mailing Address - City:HUTTO
Mailing Address - State:TX
Mailing Address - Zip Code:78634-0970
Mailing Address - Country:US
Mailing Address - Phone:512-846-2266
Mailing Address - Fax:512-846-2245
Practice Address - Street 1:101 PARK ST
Practice Address - Street 2:
Practice Address - City:HUTTO
Practice Address - State:TX
Practice Address - Zip Code:78634-4515
Practice Address - Country:US
Practice Address - Phone:512-846-2266
Practice Address - Fax:512-846-2245
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-24
Last Update Date:2011-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX102435225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist