Individual
MRS. CRYSTAL MICHELLE O'DONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.T.
Contact information
Practice address
4757 SCHMIDT RD, MILLSTADT, IL 62260-3321
(618) 604-8669
Mailing address
4757 SCHMIDT RD, MILLSTADT, IL 62260-3321
(618) 604-8669
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/20/2009
Last updated
05/20/2009
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