| Doctor Name: | MICHAEL JOSEPH O'DONNELL |
| NPI Number: | 1255592291 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | PT019301 |
| Business Practice Address: | 160 Nw Central Park Plz Suite 108 Port St Lucie, FL - 349861825 |
| Business Phone Number: | 7726219313 |
| Business Fax Number: | 7726219358 |
| Mailing Address: | 160 Nw Central Park Plz, Suite 108 PORT ST LUCIE |
| State: | FL |
| Postal Code: | 349861825 |
| Phone Number: | 7726219313 |
| Fax Number: | 7726219358 |
| NPI Enumeration Date: | 06/23/2008 |
| NPI Last Update Date: | 02/15/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT019301 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |