Individual
MISS SALLY ANNE O'DONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
130 BUENA VISTA ST, BALTIC, OH 43804-9669
(330) 897-4311
(330) 897-0515
Mailing address
17996 BRUSHY FORK RD SE, NEWARK, OH 43056-9435
(740) 763-0520
(330) 897-0515
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1200
OH
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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