Mckinley Odom, DPT | |
1711 Lakeside Ave Ste 5, St Augustine, FL 32084-4103 | |
(904) 679-3449 | |
Not Available |
Full Name | Mckinley Odom |
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Gender | Female |
Speciality | Physical Therapist |
Location | 1711 Lakeside Ave Ste 5, St Augustine, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629844089 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 12135 (South Carolina) | Primary |
Provider Name | Chapin Rehabilitation Clinic Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1033128160 PECOS PAC ID: 1557443488 Enrollment ID: O20080130000551 |
Mailing Address | Practice Location Address |
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Mckinley Odom, DPT 828 Silverpoint Rd, Chapin, SC 29036-7963 Ph: (803) 543-6979 | Mckinley Odom, DPT 1711 Lakeside Ave Ste 5, St Augustine, FL 32084-4103 Ph: (904) 679-3449 |
Angela Marie Cicchino, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1 University Blvd, St Augustine, FL 32086 Phone: 904-829-3411 Fax: 904-829-3412 | |
Mr. Stephen A Vighetti, PT, MTC, CSCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4020 Grande Vista Blvd, #114, St Augustine, FL 32084 Phone: 904-315-3416 | |
Dr. David Anthony Eldridge, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Orthopaedic Pl, St Augustine, FL 32086 Phone: 904-825-0540 Fax: 904-825-2490 | |
Erica J Kiernan, PT/OT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 105 Mariner Health Way, Ste 213, St Augustine, FL 32086 Phone: 904-217-4259 Fax: 904-217-4251 | |
Jerry Worley, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 245 Wildwood Dr, # 144, St Augustine, FL 32086 Phone: 904-687-9880 | |
Joseph R Edwards, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 968 Espinado Avenue, St Augustine, FL 32086 Phone: 954-805-0655 | |
Kaleb Griffel, DPT PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1 University Blvd, St Augustine, FL 32086 Phone: 904-829-3411 Fax: 904-829-3412 |