| 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 |