Provider Demographics
NPI:1841451564
Name:CONFAIR, DONNA (OT/L)
Entity type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:
Last Name:CONFAIR
Suffix:
Gender:F
Credentials:OT/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1909 EMMORTON RD
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21015-6256
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1909 EMMORTON RD
Practice Address - Street 2:LORIEN BEL AIR
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21015-6256
Practice Address - Country:US
Practice Address - Phone:410-803-1400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-25
Last Update Date:2018-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD04462225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist