Individual
MATTHEW ODACHOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
23 SAN REMO DR, SUITE 100, SOUTH BURLINGTON, VT 05403-6343
(802) 865-0010
(802) 865-0050
Mailing address
23 SAN REMO DR, SUITE 100, SOUTH BURLINGTON, VT 05403-6343
(802) 865-0010
(802) 865-0050
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040-0003739
VT
Other
Enumeration date
07/18/2007
Last updated
07/18/2007
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