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1649934019
LACEY SHANNON ODELL
AUSTIN, TX
NPI
1649934019
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1353750)
Enumeration Date
2021-10-22
Last Update Date
2021-10-22
Business Address
LACEY SHANNON ODELL PT, DPT
711 W 38TH ST STE B3&B4
AUSTIN, TX 78705-1121
Phone number: 512-450-0909
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Mailing Address
LACEY SHANNON ODELL PT, DPT
6712 CROSNE ST
AUSTIN, TX 78754-4411
Phone number: 915-443-0470
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