Individual
MYRA ODENWAELDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
59 AUNT OLIVE RD, WATERTOWN, CT 06795-3236
(203) 444-1577
Mailing address
59 AUNT OLIVE RD, WATERTOWN, CT 06795-3236
(203) 444-1577
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7997
CT
Other
Enumeration date
03/20/2017
Last updated
03/20/2017
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