Individual
ERICA ODOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
6590 TRYON RD, CARY, NC 27518-7052
(919) 851-8000
Mailing address
1485 CREEL RD, MOUNT OLIVE, NC 28365-8935
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4728
NC
Other
Enumeration date
05/07/2012
Last updated
05/07/2012
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