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Individual

LEAH C O'DELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPTA

Contact information

Practice address
800 N CHURCH ST, PALESTINE, TX 75801-2381
(903) 723-3602
(903) 731-9573
Mailing address
638 AN CR 170, ELKHART, TX 75839
(903) 724-5485

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2214398
TX

Other

Enumeration date
03/09/2018
Last updated
03/09/2018
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