Individual
MRS. ANDREA ELIZABETH ODIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
012020
NY
225X00000X
Occupational Therapist
Primary
46TR00534600
NJ
Other
Enumeration date
02/25/2009
Last updated
08/03/2017
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