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Individual

ELIZABETH ODOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
1245 CHURCH RD, WYNCOTE, PA 19095-1800
(215) 884-9990
Mailing address
50 S VALLEY RD APT E3, PAOLI, PA 19301-1443

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE011712
PA

Other

Enumeration date
03/20/2018
Last updated
03/20/2018
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