Individual
ELENA A O'DONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
11607 W WILKINSON ST, MAIZE, KS 67101-9011
(316) 210-1462
(888) 737-8795
Mailing address
11607 W WILKINSON ST, MAIZE, KS 67101-9011
(316) 210-1462
(888) 737-8795
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1402578
KS
Other
Enumeration date
09/14/2013
Last updated
09/14/2013
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