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NPI Code Detail

MEDICARE: EMILY MARIE ODEH P.T.

MEDICARE: EMILY MARIE ODEH P.T.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist1268550TX
2174400000XSpecialist742139056TX

General Provider Information

NPI Number : 1346606019
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY MARIE ODEH P.T.
Provider Business Mailing Address
First Line : PO BOX 733352
Second Line :
City : DALLAS
State : TX
Zip : 75373-3352
Country : US
Telephone Number : 972-473-8980
Fax Number : 972-212-6851
Provider Business Practice Location Address
First Line : 6101 WINDHAVEN PKWY STE 145
Second Line :
City : PLANO
State : TX
Zip : 75093-8198
Country : US
Telephone Number : 972-473-8980
Fax Number : 972-212-6851
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2016
Last Update Date : 03/04/2026

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