NPI | 1740625870 |
---|---|
Doing Business As | ODOM HEALTH AND WELLNESS |
Entity Type | Organization |
Authorized Contact | JOHN H.L. ODOM President 952-224-1919 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine |
Additional Taxonomies | 225100000X Physical Therapist |
225X00000X Occupational Therapist | |
Enumeration Date | 2013-05-02 |
Last Update Date | 2013-05-02 |