Individual
MADISON ODEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1132 ERWIN HWY, GREENEVILLE, TN 37745-4405
(142) 328-2901
Mailing address
2410 SUSANNAH ST, JOHNSON CITY, TN 37601-1748
(423) 282-9011
(423) 282-0035
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15866
TN
Other
Enumeration date
08/12/2024
Last updated
01/13/2026
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