Individual
TERRY SAPHR O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
131 NEW LONDON TPKE STE 101, GLASTONBURY, CT 06033-2246
(860) 659-8904
Mailing address
131 NEW LONDON TPKE STE 101, GLASTONBURY, CT 06033-2246
(860) 659-8904
(860) 246-5828
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
000644
CT
Other
Enumeration date
02/10/2006
Last updated
07/08/2019
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