Individual
MR. PATRICK CLARK O'DONNELL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
3009 98TH ST, HIGHLAND, IN 46322-3343
(219) 588-0833
Mailing address
1244 ALAPAHA LN, ORLANDO, FL 32828-5229
(219) 588-0833
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL5215
FL
Other
Enumeration date
02/22/2016
Last updated
01/28/2019
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