Odum, Theresa Bryant

Odum, Theresa Bryant is an individual health care provider with primary practice located at 1000 W Main St Ste 460, Dothan AL 36301-1447. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Odum, Theresa Bryant can be contacted via phone (334) 794-0591.

Contact Information

Primary practice address
1000 W Main St Ste 460 Dothan AL 36301-1447
Phone: (334) 794-0591
Fax: (334) 793-6073
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 1269 Alabama

Profile Details

NPI number 1194869180
LBN Legal business name Odum, Theresa Bryant
Credentials OCCUPATIONAL THERAPY
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2007
Last updated Jul 8th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194869180 NPPES
Alabama Other 515-32382 BCBS

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