Thomas William O'donnell
Prosthetist
150 South Huntington Ave
Boston
, Massachusetts 02130
Thomas William O'donnell
Prosthetist
150 South Huntington Ave
Boston
, Massachusetts 02130
(978) 546-7750
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About
Features
Specialties
- Prosthetist
Languages spoken
- English
Location
First Address
- Thomas William O'donnell
- 59 Stockholm Ave
- Rockport, MA
- Zip : 01966-1276
- Phone : (978) 546-7750
Second Address
- Thomas William O'donnell
- 150 South Huntington Ave
- Boston, MA
- Zip : 02130
- Fax : (857) 364-4537
- Phone : (617) 232-9500
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 224P00000X | Prosthetist | CPO 1633 | MA |
National Provider Identifier
| NPI | 1043322928 |
|---|---|
| Provider Name | Thomas William O'donnell |
| First Address | Rockport, MA 01966-1276 |
| Second Address | Boston, MA 02130 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/08/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| V130213 | ORTHOTIST (01) | MA |
| V130214 | PROSTHETIST (01) | MA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.