Provider Demographics
NPI:1689765570
Name:O'DONNELL, FREDERICA (MOT, OTR)
Entity Type:Individual
Prefix:MRS
First Name:FREDERICA
Middle Name:
Last Name:O'DONNELL
Suffix:
Gender:F
Credentials:MOT, OTR
Other - Prefix:
Other - First Name:FREDERICA
Other - Middle Name:
Other - Last Name:GUZZETTA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:18131 HERON WALK DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647
Mailing Address - Country:US
Mailing Address - Phone:813-838-1656
Mailing Address - Fax:
Practice Address - Street 1:18131 HERON WALK DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33647
Practice Address - Country:US
Practice Address - Phone:813-838-1656
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT 11989225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist