Individual
HARLA KELLY O'DONNELL
Active
Individual
HARLA KELLY O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25MB10412100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1P9364
MEDICARE PIN
NJ
Enumeration date
06/17/2014
Last updated
06/15/2023
Update your record
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