Individual
CHRISTINE O'DONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
950 S MELLONVILLE AVE, SANFORD, FL 32771-2237
(407) 322-8566
Mailing address
316 TRIESTE LOOP, LAKE MARY, FL 32746-2656
(469) 964-4598
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2020301
TX
Other
Enumeration date
07/20/2006
Last updated
04/22/2019
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