Individual
JENNIFER O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1900 LAFAYETTE RD, SUITE C, PORTSMOUTH, NH 03801-5679
(603) 431-5600
(603) 431-5610
Mailing address
1900 LAFAYETTE RD, SUITE C, PORTSMOUTH, NH 03801-5679
(603) 431-5600
(603) 431-5610
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
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