Individual
GINA ODENWAELDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
850 SILAS DEANE HWY FL 2, WETHERSFIELD, CT 06109-3440
(860) 610-0400
Mailing address
386 ROUTE 66, COLUMBIA, CT 06237-1528
(860) 488-0415
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
007127
CT
Other
Enumeration date
10/28/2021
Last updated
02/16/2025
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