Individual
MR. JAMES M ODONOHUE SR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT, OCS, ATC
Contact information
Practice address
31 INDUSTRIAL DR, SUITE 129, HAMBURG, PA 19526-8778
(610) 562-1700
Mailing address
300 N RICHMOND ST, FLEETWOOD, PA 19522-1308
(610) 944-6945
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT005820L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07613139
—
PA
01
—
11228616
CAQH
PA
Enumeration date
07/19/2005
Last updated
07/08/2007
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