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NPI Code Detail

MEDICARE: ANNABELLE MAGNO O'DELL

MEDICARE: ANNABELLE MAGNO O'DELL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistJ1-0002028DE

General Provider Information

NPI Number : 1215982848
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNABELLE MAGNO O'DELL
Provider Business Mailing Address
First Line : 1240 CEDAR LANE RD
Second Line :
City : MIDDLETOWN
State : DE
Zip : 19709-9739
Country : US
Telephone Number : 727-515-2095
Fax Number :
Provider Business Practice Location Address
First Line : 4709 KIRKWOOD HWY
Second Line :
City : WILMINGTON
State : DE
Zip : 19808-5007
Country : US
Telephone Number : 302-998-9880
Fax Number : 302-998-7498
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2006
Last Update Date : 12/19/2016

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Directions to “ ANNABELLE MAGNO O'DELL ” Practice Location

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