ODOM SPORTS MEDICINE, P.A.

WACONIA, MN
NPI1740625870
Doing Business AsODOM HEALTH AND WELLNESS
Entity TypeOrganization
Authorized ContactJOHN H.L. ODOM
President
952-224-1919
Organization Subpart ?Yes
Primary Taxonomy207QS0010X Family Medicine, Sports Medicine
Additional Taxonomies225100000X Physical Therapist
225X00000X Occupational Therapist
Enumeration Date2013-05-02
Last Update Date2013-05-02
Business Address
ODOM SPORTS MEDICINE, P.A.
500 S CHERRY ST
WACONIA, MN 55387-4515
Phone number: 952-856-4722
Mailing Address
ODOM SPORTS MEDICINE, P.A.
10500 WAYZATA BLVD
MINNETONKA, MN 55305-1511
Phone number: 952-224-1919