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Ashley Odom
Developmental Disabilities Clinic/Center in Fort Pierce, Florida
NPI 1750824470

Ashley Odom is a Developmental Disabilities Clinic/Center based in Fort Pierce, FL and is specialized in Developmental Disabilities. Ashley Odom practices in Fort Pierce, FL. The NPI Number for Ashley Odom is 1750824470 and holds a License No. 813994458 (Florida).

The current practice location address for Ashley Odom is 5003 Winter Garden Pkwy, Fort Pierce, FL and can be reached out via phone at 772-207-0566.

Location: 5003 Winter Garden Pkwy, Fort Pierce, FL, 34951-2031
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750824470
Provider Name
Ashley Odom
Credential
Provider Entity Type
Individual
Gender
Female
Address
5003 Winter Garden Pkwy, Fort Pierce, FL, 34951-2031
Phone Number
772-207-0566
Fax Number
Provider Enumeration Date
11/29/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5003 Winter Garden Pkwy
City
Fort Pierce
State
Florida
Zip
34951-2031
Phone Number
772-207-0566
Fax Number
person
Provider Business Mailing Address Details
Address
5003 Winter Garden Pkwy
City
Fort Pierce
State
Florida
Zip
34951-2031
Phone Number
772-207-0566
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
261QD1600X
License No.
813994458 (Florida)
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
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