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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ODELL ANDERSON JR., PT

Active

ODELL ANDERSON JR., PT is a Physical Therapy Assistant healthcare provider located in FAYETTEVILLE, Georgia. NPI 1710549423 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · FAYETTEVILLE, GA

Registration Details

NPI Number
1710549423
Provider Type
Individual
Gender
Male
NPI Issued
Jul 2, 2019 (7.0923000173341 yrs)
Last Updated
Jul 2, 2019
License
PT014062 (GA)

Practice Information

Address
290 HIGHWAY 314 STE B
FAYETTEVILLE, GA, 302147813
Browse GA providers · Browse ZIP 30214
Phone
4049947727
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in FAYETTEVILLE, GA

Name Credential NPI
DR. PATRICIA PERRY BRUBAKER DPT 1366409708
MRS. KAREN G BARBER 1790713279
DR. KRISTIN RENEE AYERS DPT 1487664975
MR. AARON L. ADAMS RPT 1225147820
SUSAN J. LEGER P.T. 1063508521
MR. DANIEL EDWARD WORTHINGTON P.T. 1780755124
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.