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Individual

MR. JOSEPH CHARLES ODELLI JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
730 LACEY RD, FORKED RIVER, NJ 08731-1300
(732) 255-9270
Mailing address
314 ANTHONY AVE, TOMS RIVER, NJ 08753-7104
(732) 832-9804

Taxonomy

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

Other

Enumeration date
12/03/2007
Last updated
12/03/2007
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