Provider Demographics
NPI:1407885379
Name:O'CONNELL, JANELLE KAY (PT, PHD, ATC, LAT)
Entity Type:Individual
Prefix:PROF
First Name:JANELLE
Middle Name:KAY
Last Name:O'CONNELL
Suffix:
Gender:F
Credentials:PT, PHD, ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 HICKORY
Mailing Address - Street 2:HSU 16065, DEPT. OF PHYSICAL THERAPY
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79698-0001
Mailing Address - Country:US
Mailing Address - Phone:325-670-5860
Mailing Address - Fax:325-670-5868
Practice Address - Street 1:2200 HICKORY
Practice Address - Street 2:HSU 16065, DEPT. OF PHYSICAL THERAPY
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79698-0001
Practice Address - Country:US
Practice Address - Phone:325-670-5860
Practice Address - Fax:325-670-5868
Is Sole Proprietor?:No
Enumeration Date:2006-07-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1120343225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist