Individual
MRS. TRACEY O'DELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
9957 ALLISONVILLE RD, FISHERS, IN 46038-2006
(317) 841-7005
(317) 841-7029
Mailing address
10188 RIVERWOOD AVE, NOBLESVILLE, IN 46062-8810
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
05004895A
IN
Other
Enumeration date
10/10/2011
Last updated
10/10/2011
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