Organization
ODOM HEALTH AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE NASH (OPERATIONS MANAGER)
(952) 224-1919
Entity
Organization
Contact information
Practice address
1900 10TH ST, SILVIS, IL 61282-1909
(309) 278-1537
Mailing address
10500 WAYZATA BLVD, MINNETONKA, MN 55305-1511
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
070020938
IL
Other
Enumeration date
03/31/2015
Last updated
03/31/2015
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