Organization
PERFORMANCE PELVIC MISSION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICA O'DONNELL OTD, OTR/L (OWNER)
(813) 838-1656
Entity
Organization
Contact information
Practice address
18131 HERON WALK DR, TAMPA, FL 33647-3130
(813) 838-1656
Mailing address
18131 HERON WALK DR, TAMPA, FL 33647-3130
(813) 838-1656
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
—
—
Other
Enumeration date
05/21/2025
Last updated
05/21/2025
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