Tate Odam, PTA

NPI #1093390957 in Chickasha, Oklahoma

Provider Information

NPI Number
1093390957
Entity Type
Individual
Name
Tate Odam, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Mar 12, 2021
Last Updated
Mar 12, 2021

Practice Location

Address
304 S 29TH ST
ZIP Code
73018-2501
Phone
(405) 224-3100

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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