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Individual

SHELBY O'DONNELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
211 E STADIUM, MAGNOLIA, AR 71753-2032
(870) 234-7604
(870) 234-6669
Mailing address
434 E UNION, MAGNOLIA, AR 71753-3663

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA4045
AR

Other

Enumeration date
01/21/2016
Last updated
01/21/2016
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