Individual
JACOB WEBB O'DELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2817 W ANDREW JOHNSON HWY, MORRISTOWN, TN 37814-3216
(423) 586-4810
(423) 586-4811
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10754
TN
Other
Enumeration date
04/28/2016
Last updated
04/28/2016
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