Provider Demographics
NPI:1538537600
Name:BERNSTEIN, DONNA (MS,OTR/L)
Entity type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:
Last Name:BERNSTEIN
Suffix:
Gender:F
Credentials:MS,OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2997 NAIRN DR
Mailing Address - Street 2:
Mailing Address - City:FINKSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:21048-1582
Mailing Address - Country:US
Mailing Address - Phone:410-978-3985
Mailing Address - Fax:
Practice Address - Street 1:2997 NAIRN DR
Practice Address - Street 2:
Practice Address - City:FINKSBURG
Practice Address - State:MD
Practice Address - Zip Code:21048-1582
Practice Address - Country:US
Practice Address - Phone:410-978-3985
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-08
Last Update Date:2015-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD05233225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics