Theresa Bryant Odum in Dothan - Occupational Therapist
Theresa Bryant Odum - NPI 1194869180
Theresa Bryant Odum is a Occupational Therapist in Dothan, Alabama. Theresa Bryant Odum practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Theresa Bryant Odum is 1194869180. The last update date is 2007-07-08.
Theresa Bryant Odum's current location address is 1000 W Main St, Dothan, Alabama. You can contact this provider via phone number 3347940591 and fax number 3347936073. The mailing address for Theresa Bryant Odum is 1000 W Main St, Dothan, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theresa Bryant Odum |
|---|---|
| Address | 1000 W Main St, Dothan, Alabama |
| Phone Number | 3347940591 |
| Fax Number | 3347936073 |
| Sole Proprietor | N |
| Credentials | OCCUPATION |
NPI Number Detail
| NPI Number | 1194869180 |
|---|---|
| Provider Enumeration Date | 2007-02-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1000 W Main St |
|---|---|
| City | Dothan |
| State | Alabama (AL) |
| Post Code | 363011447 |
| Phone Number | 3347940591 |
| Fax Number | 3347936073 |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | 1269 |
|
Definition: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federat |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 515-32382 | AL | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Theresa Bryant Odum by the Centers for Medicare & Medicaid Services?
The Theresa Bryant Odum has been assigned the NPI (National Provider Identifier) 1194869180 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Theresa Bryant Odum?
The Theresa Bryant Odum is physically situated at 1000 W Main St, in the city of Dothan, state of AL, with the postal code 363011447.
What is Theresa Bryant Odum's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Theresa Bryant Odum's specialized field of practice is Occupational Therapist, and the corresponding taxonomy code that categorizes this area of specialization is 225X00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1194869180 to Theresa Bryant Odum?
The Theresa Bryant Odum received its 1194869180 assignment from the Centers for Medicare & Medicaid Services on 2007-02-16.
As of what date were the details pertaining to Theresa Bryant Odum last refreshed?
The information related to the Theresa Bryant Odum, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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