Individual
JENNIFER O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
196281
MA
225100000X
Physical Therapist
Primary
3308
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
196281
PT LICENSE
MA
01
—
3308
NH LICENSE
NH
Enumeration date
07/11/2006
Last updated
03/07/2016
Update your record
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