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1811046774
BRYAN EDWARD ODEN
AUSTIN, TX
NPI
1811046774
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1112266)
Enumeration Date
2007-01-09
Last Update Date
2008-08-05
Business Address
-- BRYAN EDWARD ODEN P.T.
110 E LIVE OAK ST
AUSTIN, TX 78704-4355
Phone number: 512-448-4599
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Mailing Address
-- BRYAN EDWARD ODEN P.T.
2616 TINMOUTH ST
AUSTIN, TX 78748-3954
Phone number: 512-731-0309
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