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BONNIE C ODENDAAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
250 S MAIN ST STE 224A, BLACKSBURG, VA 24060-4726
(540) 552-7133
(540) 552-7143
Mailing address
PO BOX 715868, PHILADELPHIA, PA 19171-5868
(804) 915-1910
(804) 968-1803

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305209309
VA

Other

Enumeration date
05/04/2011
Last updated
12/05/2024
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