Individual
TIM ODGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HHA
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
Mailing address
5 SAMMYS MOBILE HOME PARK, MHP, SCHUYLKILL HAVEN, PA 17972-9753
(570) 385-5941
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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