Individual
MATTHEW O'DONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1441 SCHOENERSVILLE RD, BETHLEHEM, PA 18018-1864
(610) 625-7210
Mailing address
1495 OCEAN RD, WALL, NJ 07719-9008
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
O18575297906904
NJ
Other
Enumeration date
07/08/2017
Last updated
07/08/2017
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