Individual
JALEN MICHELLE ODLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
5000 HIGHWAY 17 BYP S, MYRTLE BEACH, SC 29588-4500
(843) 252-0033
(843) 582-0259
Mailing address
312 SUNSET TRL, MYRTLE BEACH, SC 29577-2365
(210) 501-8705
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5665
SC
Other
Enumeration date
05/28/2024
Last updated
05/28/2024
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