Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kimberly Odendahl, COTA/L

Individual provider Specialist · NPI 1861864704

Kimberly Odendahl, COTA/L is a Specialist in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2015.

Licensed in
AZ
In the registry since
2015
What do these letters mean?
COTA/L — Certified Occupational Therapy Assistant, Licensed
An occupational therapy assistant who is both certified and state licensed.

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Practice location Address checks out

10631 S 51st St Ste 8
Phoenix, AZ 85044-5225
Phone: (480) 398-4280
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 6194 (AZ)

Record details

NPI number1861864704
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorNo
NPI enumeratedOctober 29, 2015
Last updated in NPPESOctober 29, 2015

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