Individual provider · Type 1 NPI

Kimberly Odendahl, COTA/L

Specialist · Phoenix, AZ

NPI number 1861864704 Active

Practice location

10631 S 51st St, Suite 8
Phoenix, AZ 85044-5225

Call (480) 398-4280 Map

Mailing address

4646 E Lewis Ave
Phoenix, AZ 85008-2406

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X6194 (AZ)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1861864704

Kimberly Odendahl, COTA/L's National Provider Identifier is 1861864704, issued on Oct 29, 2015. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Phoenix, AZ. The record was last updated on Oct 29, 2015.