Individual
TARRAH O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
737 N MICHIGAN AVE STE 2270, CHICAGO, IL 60611-2680
(844) 432-1900
Mailing address
120 SWEETBRIAR BR, LONGWOOD, FL 32750-2715
(407) 923-5052
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9110094
FL
Other
Enumeration date
01/05/2017
Last updated
05/12/2020
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