Individual
ROBERT ODUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10510 PENELOPE PL, UNIT 308, NEW PORT RICHEY, FL 34654-1750
(561) 398-4444
Mailing address
10510 PENELOPE PL, UNIT 308, NEW PORT RICHEY, FL 34654-1750
(561) 398-4444
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 12992
FL
Other
Enumeration date
07/15/2014
Last updated
07/15/2014
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