| Doctor Name: | CLARISSA THURMAN O'DONNELL |
| NPI Number: | 1003071291 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | PT011676L |
| Business Practice Address: | 5108 E Trindle Rd Suite 200 Mechanicsburg, PA - 170503300 |
| Business Phone Number: | 7177909920 |
| Business Fax Number: | 7177909923 |
| Mailing Address: | 5300 Derry St, 2nd Floor HARRISBURG |
| State: | PA |
| Postal Code: | 171113576 |
| Phone Number: | 7178392110 |
| Fax Number: | 7175651934 |
| NPI Enumeration Date: | 07/28/2008 |
| NPI Last Update Date: | 11/30/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251P0200X |
| License Number: | PT011676L |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |