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Individual
MARCELLA RAQUEL ODEN
Active
Individual
MARCELLA RAQUEL ODEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT, DACM, L.AC.
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
PT27789
CA
171100000X
Acupuncturist
Primary
19467
CA
2251X0800X
Orthopedic Physical Therapist
27789
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19467
ACUPUNCTURE LICENSE
CA
01
—
AP4491
ACUPUNCTURE LICENSE
FL
01
—
PT27789
PHYSICAL THERAPY LICENSE
CA
Enumeration date
11/17/2005
Last updated
01/22/2024
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