Individual
CASEY O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
450 PROSPECTOR AVE, DURANGO, CO 81301-7940
(188) 887-3422
Mailing address
7540 N 19TH AVE STE 200, PHOENIX, AZ 85021-7967
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.0013775
CO
Other
Enumeration date
04/15/2016
Last updated
04/15/2016
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