Individual
MR. BRADFORD DENNIS ODUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTRL
Contact information
Practice address
420 N UNIVERSITY ST, MURFREESBORO, TN 37130
(615) 893-2602
(615) 890-1224
Mailing address
1811 LONES BLVD, MURFREESBORO, TN 37129
(706) 840-5322
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3469OTR
TN
Other
Enumeration date
12/13/2006
Last updated
07/08/2007
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