| NPI | 1497113096 |
|---|---|
| Former Name | TERRI-JOHN ODOM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH8916) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT 31188) |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2024-06-10 |