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General NPI Number Information
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NPI Number | 1588540025
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Entity Type | Individual
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Provider Name | RYAN O'DONNELL PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 08/12/2025
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 1575 CAMBRIDGE ST
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City | CAMBRIDGE
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State | MA
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Zip | 02138-4308
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Country | US
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Telephone | 617-876-4344
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Fax |
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Provider Business Mailing Address
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Address Line | 146 OXFORD ST APT B
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City | SOMERVILLE
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State | MA
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Zip | 02143-3590
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Country | US
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Telephone | 860-884-5067
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251N0400X
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Taxonomy Name | Neurology Physical Therapist
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License Number | PTL88768
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License Number State | MA
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