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Individual

MRS. LAURA LEE O'DELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
1315 NW 4TH ST APT B, REDMOND, OR 97756-1328
(541) 504-2350
(541) 504-2354
Mailing address
805 SW INDUSTRIAL WAY STE 3, BEND, OR 97702-1093
(541) 585-2529

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05114
OR
225100000X
Physical Therapist
PT00009847
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8432429
OR
05
8432429
WA
Enumeration date
11/25/2005
Last updated
03/20/2019
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