Individual
KARRI ODELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 E LESLIE ST, PAULS VALLEY, OK 73075-5814
(866) 804-9492
Mailing address
200 E LESLIE ST, PAULS VALLEY, OK 73075-5814
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1411
OK
Other
Enumeration date
06/22/2012
Last updated
06/22/2012
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