NPI 1134734452
Kaycee Odziana, PTA
Practice location
- Address
- 52503 Stafford Dr, Macomb, MI 48042-3816
- Phone
- (586) 430-1333
- Fax
- (586) 430-4691
Registered specialties
Physical Therapy Assistant
Primary
Registry record
- NPI
- 1134734452
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 14 Sep 2020
- Record last updated
- 14 Sep 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.