Provider Demographics
NPI:1609204932
Name:ODONNELL, BARB (OTR/L)
Entity Type:Individual
Prefix:
First Name:BARB
Middle Name:
Last Name:ODONNELL
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7139 SCIOTO PKWY
Mailing Address - Street 2:
Mailing Address - City:POWELL
Mailing Address - State:OH
Mailing Address - Zip Code:43065-8252
Mailing Address - Country:US
Mailing Address - Phone:216-548-4557
Mailing Address - Fax:
Practice Address - Street 1:175 COMMUNITY DR
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:OH
Practice Address - Zip Code:43302-6487
Practice Address - Country:US
Practice Address - Phone:740-387-7537
Practice Address - Fax:740-383-2866
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-23
Last Update Date:2013-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOT-1863225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist