O'Donnell, Lynn M

O'Donnell, Lynn M is an individual health care provider with primary practice located at 105 Southpark Blvd Suite B201, St Augustine FL 32086-5191. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. O'Donnell, Lynn M can be contacted via phone (904) 824-1636.

Contact Information

Primary practice address
105 Southpark Blvd Suite B201 St Augustine FL 32086-5191
Phone: (904) 824-1636
Fax: (904) 824-7488
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT4350 Florida

Profile Details

NPI number 1962469064
LBN Legal business name O'Donnell, Lynn M
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962469064 NPPES
Florida Other Q81 BCBS

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