KACEY ELIZABETH ODUM

LOS ALAMOS, NM
NPI1851835060
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: FL  OTA12208)
Additional Taxonomies224Z00000X Occupational Therapy Assistant
(Licence: KS  18-01385)
Enumeration Date2016-12-06
Last Update Date2016-12-06
Business Address
Ms. KACEY ELIZABETH ODUM COTA/L
1011 SOMBRILLO CT
LOS ALAMOS, NM 87544-3259
Phone number: 505-661-0066
Mailing Address
Ms. KACEY ELIZABETH ODUM COTA/L
1011 SOMBRILLO CT
LOS ALAMOS, NM 87544-3259
Phone number: 904-535-4991