Tate Odell

NPI #1780103093 in Snyder, New York

Provider Information

NPI Number: 1780103093
Entity Type: Individual
Name: Tate Odell
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Sep 18, 2017
Last Updated: Sep 18, 2017

Practice Location

Address: 35 ROSE CT APT 1
City: Snyder
State: New York
ZIP Code: 14226-3661
Phone: (802) 299-9710

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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