Individual
DR. BENJAMIN LEE ODOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
2908 COUNTRY PLACE DR, PLANO, TX 75075-2121
(972) 365-1600
Mailing address
2908 COUNTRY PLACE DR, PLANO, TX 75075-2121
(972) 365-1600
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1210797
TX
2251X0800X
Orthopedic Physical Therapist
1210797
TX
Other
Enumeration date
12/07/2011
Last updated
04/12/2018
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