Individual
DENNIS M. O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
94-1480 MOANIANI ST, WAIPAHU, HI 96797-4632
(808) 432-3186
Mailing address
94-1480 MOANIANI ST, WAIPAHU, HI 96797-4632
(808) 432-3186
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-126
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000261909
HMSA BILLING NUMBER
HI
05
—
59116601
—
HI
Enumeration date
06/02/2006
Last updated
10/09/2007
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