Individual
MR. STEVEN JOHN ODONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RRT,RPFT
Contact information
Practice address
1400 VFW PKWY, WEST ROXBURY, MA 02132
(857) 203-6442
Mailing address
24 GREENBRIAR ROAD, BROCKTON, MA 02301
(508) 587-7783
Taxonomy
Speciality
Code
Description
License number
State
2279C0205X
Critical Care Registered Respiratory Therapist
Primary
RT1173
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RT1173
COMMONWEALTH OF MASSACHUSETTS RESPIRATORY THERAPY
MA
Enumeration date
06/04/2021
Last updated
06/04/2021
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