Individual
MS. HEATHER KAMISKY ODELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
24076 SE STARK ST, GRESHAM, OR 97030-3162
(503) 491-1666
Mailing address
PO BOX 1409, BORING, OR 97009-1409
(503) 860-5385
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
5010
OR
Other
Enumeration date
02/21/2006
Last updated
07/13/2009
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