Individual
DIXIE L. ODUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPTA
Contact information
Practice address
801 LOCUST ST, LA CROSSE, KS 67548-9673
(785) 222-3526
(785) 222-3478
Mailing address
PO BOX 520, 611 PEACE STREET, LA CROSSE, KS 67548-0520
(785) 222-3526
(785) 222-3278
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-01076
KS
Other
Enumeration date
10/05/2010
Last updated
10/05/2010
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