Odakura, Claire Eden
Odakura, Claire Eden is an individual health care provider with primary practice located at 2089 Teron Trce Suite 120, Dacula GA 30019-1609. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is her primary health care specialty. Odakura, Claire Eden can be contacted via phone (770) 904-6009.Contact Information
Primary practice address
2089 Teron Trce Suite 120
Dacula GA 30019-1609
Phone: (770) 904-6009
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | OT005810 | Georgia |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT005810 | Georgia |
Profile Details
| NPI number | 1104236744 |
|---|---|
| LBN Legal business name | Odakura, Claire Eden |
| Credentials | OTR/L |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2014 |
| Last updated | Jan 6th, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104236744 | NPPES |
| Georgia | MEDICAID | 003147296C |
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