Individual
MR. JAMES ZACHARY ODENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2 HEALTH CENTER DR, 014, ATHENS, OH 45701-2907
(740) 593-4722
(740) 593-0921
Mailing address
W290 GROVER CENTER, OHIO UNIVERSITY THERAPY ASSOCIATES, ATHENS, OH 45701-2979
(740) 593-0820
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT011568
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000163115
ANTHEM
—
Enumeration date
03/20/2007
Last updated
11/07/2012
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