Basic Information
| Provider Information | |||||||||
| NPI: | 1902007388 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DONAHOO | ||||||||
| FirstName: | SHELBY | ||||||||
| MiddleName: | RHEA | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | MS OTRL | ||||||||
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| Mailing Information | |||||||||
| Address1: | 11005 N INDIAN WELLS DR | ||||||||
| Address2: | |||||||||
| City: | FOUNTAIN HILLS | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 85268 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4803930434 | ||||||||
| FaxNumber: | 4806347756 | ||||||||
| Practice Location | |||||||||
| Address1: | 7540 NORTH 19TH AVE | ||||||||
| Address2: | |||||||||
| City: | PHOENIX | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 85021 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6023246505 | ||||||||
| FaxNumber: | 8885432289 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/31/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | 3084 | AZ | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
No ID Information.