Individual
KATHERINE ADAIR O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 E 17TH ST, BLOOMINGTON, IN 47408-1590
(812) 855-3619
Mailing address
2117 TRADERS XING, FORT WAYNE, IN 46845-1595
(260) 415-6404
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/17/2017
Last updated
11/17/2017
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