Most Relevant Information
Provider Data
| NPI Number: | 1003053737 |
| Provider Name: | CRYSTAL ODOM |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | 210213 |
Most Important Dates
| Enumeration Date: | 01/16/2009 |
| Last Updated: | 01/16/2009 |
Provider Practice Location
700 COLORADO BLVD
#318
DENVER
CO
802064084
Practice Location Phone/Fax
| Phone: | 8668019492 |
| Fax: |
Provider Mailing Location
700 COLORADO BLVD
#318
DENVER
CO
802064084
Provider Mailing Phone/Fax
| Phone: | 8668019492 |
| Fax: |