Individual
MRS. SHANNON LEIGH O'DONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
38 VAN ORDEN AVE, SUFFERN, NY 10901-6325
(845) 504-5423
Mailing address
38 VAN ORDEN AVE, SUFFERN, NY 10901-6325
(845) 504-5423
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
20-3955173
NY
Other
Enumeration date
11/25/2008
Last updated
11/25/2008
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