Organization Name: | PLANET REHAB THERAPY SOLUTIONS, PLLC |
NPI Number: | 1366794992 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANGELA G ODOM (SPEECH LANGUAGE PATHOLOGIST) |
Mailing Address: | 413 N Sherwood Dr White Oak |
State: | TX US |
Postal Code: | 756931339 |
Phone Number: | 9039182890 |
Fax Number: | 9032951706 |
NPI Enumeration Date: | 10/05/2012 |
NPI Last Update Date: | 10/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 105074 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |