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Individual

MELANIE ODEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
433 GEORGE WALLACE DR, GADSDEN, AL 35903-2282
(256) 547-8566
Mailing address
130 CREEKVIEW DR, RAINBOW CITY, AL 35906-8238
(256) 413-3736

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PTA3480
LICENSE#
AL
Enumeration date
08/30/2006
Last updated
07/08/2007
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