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1831630086
MYRA ODENWAELDER
WATERTOWN, CT
NPI
1831630086
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CT 7997)
Enumeration Date
2017-03-20
Last Update Date
2017-03-20
Business Address
-- MYRA ODENWAELDER DPT
59 AUNT OLIVE RD
WATERTOWN, CT 06795-3236
Phone number: 203-444-1577
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Mailing Address
-- MYRA ODENWAELDER DPT
59 AUNT OLIVE RD
WATERTOWN, CT 06795-3236
Phone number: 203-444-1577
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