Individual
HEATHER ODLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3001 W BLUE STARR DR, CLAREMORE, OK 74017-2544
(918) 342-1651
Mailing address
1137 S VANDALIA AVE, TULSA, OK 74112-5229
(479) 752-7189
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1897
OK
Other
Enumeration date
05/22/2014
Last updated
05/22/2014
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