Individual
DANIELL ODIONESENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
519 PERKINS RD, PALMETTO, GA 30268-2374
(770) 463-2460
Mailing address
519 PERKINS RD, PALMETTO, GA 30268-2374
(770) 463-2460
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT007347
GA
Other
Enumeration date
12/18/2019
Last updated
09/17/2020
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