Individual
KRISTEN MARIE O'DORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., ATC
Contact information
Practice address
1101 CITY AVE, WYNNEWOOD, PA 19096-3418
(610) 645-5089
Mailing address
237 JACKSONVILLE RD, APT. 143F, HATBORO, PA 19040-2630
(610) 960-6822
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT003234
PA
Other
Enumeration date
06/25/2006
Last updated
07/08/2010
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