Individual
CLAYTON RYAN ODANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
406 S MAIN ST, WINNSBORO, TX 75494-3226
(903) 342-6790
Mailing address
944 COUNTY ROAD 4186, QUITMAN, TX 75783-5008
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
TX
Other
Enumeration date
02/14/2021
Last updated
02/14/2021
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