Individual
DR. ODESSA RENE ADDISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 585-2119
Mailing address
201 E SOUTH TEMPLE APT 231, SLC, UT 84111-1297
(801) 631-1532
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
58968752401
UT
Other
Enumeration date
07/02/2006
Last updated
09/28/2007
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