Joshua Odom, COTA
Occupational Therapy Assistant in Royse City, TX. Individual provider (NPI-1).
NPI number1447894100
StatusActive
Last updated in NPPESNov 5, 2019
Details
- NPI
- 1447894100
- Entity type
- Individual (NPI-1)
- Name
- Joshua Odom
- Credential
- COTA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 5, 2019
- Last updated
- Nov 5, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Z00000X | Occupational Therapy Assistant | 215044 | TX | Yes |
Practice location
901 W Interstate 30Royse City, TX 75189-7518
Phone 972-636-9100
Mailing address
6166 Gamgee StFort Worth, TX 76179-1882
Phone 817-988-5045
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