Individual
MR. RICHARD O'DONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MASSAGE THERAPIST
Contact information
Practice address
0N511 ARBOR CT, WINFIELD, IL 60190-1199
(630) 221-0883
Mailing address
0N511 ARBOR CT, WINFIELD, IL 60190-1199
(630) 221-0883
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
1759M
NH
225700000X
Massage Therapist
Primary
227.007497
IL
Other
Enumeration date
11/09/2008
Last updated
11/09/2008
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