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Individual
THOMAS JOHN O'DONNELL
Active
Individual
THOMAS JOHN O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, OCS
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
60475169
WA
2251S0007X
Sports Physical Therapist
4716
OR
2251X0800X
Orthopedic Physical Therapist
4716
OR
Other
Enumeration date
04/16/2009
Last updated
12/08/2016
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