National Provider Identifier

Philip R Odien, PT

Philip R Odien, PT is listed in the NPPES registry with a primary specialty of Physical Therapist in Hamburg, NY and a listed phone number of (716) 289-8948.

NPI 1023591500Hamburg, NYPhysical Therapist

Profile Overview

NPI
1023591500
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
September 11, 2018
Last Updated
September 11, 2018

Practice Location

  • 109 Lenora Drive
  • Hamburg, NY 14075-1407

Phone: (716) 289-8948

Mailing Address

  • 109 Lenora Dr
  • Hamburg, NY 14075-4709

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1023591500
Entity Type
Individual
Last Name
Odien
First Name
Philip
Middle Name
R
Name Prefix
Dr.
Credential
PT
Mailing Street Address
109 Lenora Dr
Mailing City
Hamburg
Mailing State
NY
Mailing ZIP Code
14075-4709
Mailing Country
US
Mailing Phone
(716) 289-8948
Practice Street Address
109 Lenora Drive
Practice City
Hamburg
Practice State
NY
Practice ZIP Code
14075-1407
Practice Country
US
Practice Phone
(716) 289-8948
Enumeration Date
September 11, 2018
Last Updated
September 11, 2018
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)