Individual
BRYAN EDWARD ODEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
110 E LIVE OAK ST, AUSTIN, TX 78704-4355
(512) 448-4599
Mailing address
2616 TINMOUTH ST, AUSTIN, TX 78748-3954
(512) 731-0309
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1112266
TX
Other
Enumeration date
01/09/2007
Last updated
08/05/2008
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