Individual
MRS. KATHLEEN C ODIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2727 N VICTORIA, LAKERIDGE HC CENTER AEGIS THERAPIES, ROSEVILLE, MN 55113
(651) 483-5431
Mailing address
8780 RAINIER ALCOVE, WOODBURY, MN 55125
(651) 428-3902
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
250019
WI
Other
Enumeration date
06/12/2007
Last updated
07/08/2007
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