Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MIKENNA MARIE O'DONNELL, OTR/L
Active Sole ProprietorMIKENNA MARIE O'DONNELL, OTR/L is a Occupational Therapist healthcare provider located in BAKER, Montana. NPI 1033676630 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · BAKER, MT
Registration Details
- NPI Number
- 1033676630
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 1, 2019 (7.4342564107624 yrs)
- Last Updated
- Mar 1, 2019
- License
-
OTP-OT-LIC-6625 (MT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
202 S 4TH ST WBAKER, MT, 593139156Browse MT providers · Browse ZIP 59313
- Phone
- 4067783331
- Fax
- 4067785163
- Primary Specialty
-
Occupational Therapist
225X00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.