Individual
MRS. CYNTHIA MARY ODACHOWSKI
Active
Individual
MRS. CYNTHIA MARY ODACHOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006541-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026011901
UNIVERA/ SENIOR CHOICE
NY
01
—
000623438001
COMMUNITY BLUE
NY
01
—
00623438001
BLUE CROSS BLUE SHIELD
NY
01
—
9307528
IHA
NY
Enumeration date
05/30/2006
Last updated
09/06/2022
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