Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. KACEY ELIZABETH ODUM, COTA/L
Active Sole ProprietorMS. KACEY ELIZABETH ODUM, COTA/L is a Occupational Therapy Assistant healthcare provider located in LOS ALAMOS, New Mexico. NPI 1851835060 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · LOS ALAMOS, NM
Registration Details
- NPI Number
- 1851835060
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 6, 2016 (9.7011694093721 yrs)
- Last Updated
- Dec 6, 2016
- Licenses
-
OTA12208 (FL)18-01385 (KS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1011 SOMBRILLO CTLOS ALAMOS, NM, 875443259Browse NM providers · Browse ZIP 87544
- Phone
- 5056610066
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
- Additional Specialty
- Occupational Therapy Assistant
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.