Individual
MRS. HEIDI DEBORAH O'DELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1565 W HILLCREST RD, SANFORD, MI 48657-9707
(989) 495-3819
Mailing address
1565 W HILLCREST RD, SANFORD, MI 48657-9707
(989) 495-3819
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502004094
MI
225700000X
Massage Therapist
—
MI
Other
Enumeration date
04/21/2009
Last updated
11/15/2021
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