Lisa J Bodor

NPI #1356467252 in Leesport, Pennsylvania

Provider Information

NPI Number: 1356467252
Entity Type: Individual
Name: Lisa J Bodor
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Mar 22, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1011 BERKS RD
City: Leesport
State: Pennsylvania
ZIP Code: 19533
Phone: (610) 376-4841

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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