Individual provider · Type 1 NPI

Tate Odam, PTA

Physical Therapy Assistant · Chickasha, OK

NPI number 1093390957 Active

Practice location

304 S 29th St
Chickasha, OK 73018-2501

Call (405) 224-3100 Map

Mailing address

440 Merchant Dr
Norman, OK 73069-6470

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X3263 (OK)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1093390957

Tate Odam, PTA's National Provider Identifier is 1093390957, issued on Mar 12, 2021. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Chickasha, OK. The record was last updated on Mar 12, 2021.