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Organization
PARADIGM PHYSICAL THERAPY & SPORTS SCIENCE CENTER
Active
Organization
PARADIGM PHYSICAL THERAPY & SPORTS SCIENCE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM H DODSON PT, DSC, OCS, CHT (PHYSICAL THERAPIST,OWNER)
(432) 580-3300
Entity
Organization
Contact information
Practice address
701 N GRANT AVE, ODESSA, TX 79761-4504
(432) 580-3300
(432) 580-0505
Mailing address
701 N GRANT AVE, ODESSA, TX 79761-4504
(432) 580-3300
(432) 580-0505
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1072692
TX
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
613030000
TX
332B00000X
Durable Medical Equipment & Medical Supplies
0039729
TX
Other
Enumeration date
03/26/2007
Last updated
07/15/2015
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