# ODESSA PHYSICAL THERAPY PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295941656
- **Authorized official:** MR. LARRY CHARLES FEELER PT (PRESIDENT)
- **Authorized official phone:** (432) 366-9541

## Contact information

- **Practice address:** 4407 N GRANDVIEW AVE, ODESSA, TX 79762-5311
- **Practice address phone:** (432) 366-9541
- **Practice address fax:** (432) 366-1951
- **Mailing address:** 4407 N GRANDVIEW AVE, ODESSA, TX 79762-5311
- **Mailing address phone:** (432) 366-9541
- **Mailing address fax:** (432) 366-1951

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | TX | Yes |

## Other

- **Enumeration date:** 05/15/2007
- **Last updated:** 08/22/2020