Individual
ZACHERY THOMAS ODOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
27190 MS-28, HAZLEHURST, MS 39083-2228
(601) 574-7000
Mailing address
270190 MS-28, HAZLEHURST,MS 39083, HAZLEHURST, MS 39083
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3945
MS
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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