Individual
VALARIE ODLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2681 LENGERS WAY, FORT MILL, SC 29707-4200
(803) 877-6408
Mailing address
9538 OSWALD LN, CHARLOTTE, NC 28277-6638
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
14298
NC
224Z00000X
Occupational Therapy Assistant
Primary
5500
SC
Other
Enumeration date
09/05/2023
Last updated
09/08/2023
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