Individual
ALEXANDRA ODENWALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
225 E 34TH ST APT 10C, NEW YORK, NY 10016-4737
(718) 377-5000
(718) 377-5002
Mailing address
225 E 34TH ST APT 10C, NEW YORK, NY 10016-4737
(718) 377-5000
(718) 377-5002
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
011555
NY
Other
Enumeration date
03/09/2021
Last updated
03/09/2021
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