Provider Demographics
NPI:1811278468
Name:ONDEK, DONNA MARIE (NCMT, LMT)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:MARIE
Last Name:ONDEK
Suffix:
Gender:F
Credentials:NCMT, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3224 CHESTNUT DR
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-5951
Mailing Address - Country:US
Mailing Address - Phone:610-703-1596
Mailing Address - Fax:
Practice Address - Street 1:1322 RTE 100 SOUTH
Practice Address - Street 2:
Practice Address - City:TREXLERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18087
Practice Address - Country:US
Practice Address - Phone:610-703-1596
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-08
Last Update Date:2011-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMSG000643225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist