Provider Demographics
NPI:1043431695
Name:O'NEIL, DONNA VITA (DPT)
Entity Type:Individual
Prefix:DR
First Name:DONNA
Middle Name:VITA
Last Name:O'NEIL
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:DR
Other - First Name:DONNA
Other - Middle Name:VITA
Other - Last Name:LOMANGINO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12910 E 86TH ST N
Mailing Address - Street 2:
Mailing Address - City:OWASSO
Mailing Address - State:OK
Mailing Address - Zip Code:74055-8701
Mailing Address - Country:US
Mailing Address - Phone:918-274-1300
Mailing Address - Fax:918-274-1318
Practice Address - Street 1:12910 E 86TH ST N
Practice Address - Street 2:
Practice Address - City:OWASSO
Practice Address - State:OK
Practice Address - Zip Code:74055-8701
Practice Address - Country:US
Practice Address - Phone:918-274-1300
Practice Address - Fax:918-274-1318
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2014-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3966225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist