Individual
MICHAEL ANDREW ODELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3550 CHURN CREEK RD, REDDING, CA 96002-2718
(530) 722-8043
Mailing address
1833 KINGSWOOD WAY, REDDING, CA 96003-2159
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT2934
CA
Other
Enumeration date
03/18/2020
Last updated
11/27/2023
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