Individual
MRS. KRISTA ODOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
536 GRAND SLAM DR, EVANS, GA 30809-8044
(706) 854-8434
(706) 854-8435
Mailing address
536 GRAND SLAM DRIVE, EVANS, GA 30809-3604
(706) 854-8434
(706) 854-8435
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT005550
GA
Other
Enumeration date
10/22/2012
Last updated
01/05/2016
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