Individual
DR. COLLEEN O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1294 W 6TH ST STE 101, SAN PEDRO, CA 90731-2997
(310) 547-1850
Mailing address
1294 W 6TH ST STE 101, SAN PEDRO, CA 90731-2997
(310) 547-1850
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT305156
CA
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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