Individual
CARLY O'DONNELL
Active
Individual
CARLY O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2024001360
MO
Other
Enumeration date
01/12/2024
Last updated
01/12/2024
Update your record
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