Individual
SARA O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
6101 NORTHWEST BLVD, DAVENPORT, IA 52806-1861
(563) 322-0971
Mailing address
2300 53RD AVE STE 100, BETTENDORF, IA 52722-7565
(563) 322-0971
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070026485
IL
225100000X
Physical Therapist
Primary
115850
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070026485
LICENSE
IL
01
—
115850
LICENSE
IA
Enumeration date
07/20/2022
Last updated
09/12/2024
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