Jaqueline A Bodkin, PTA

NPI #1811105612 in Waynesville, Missouri

Provider Information

NPI Number: 1811105612
Entity Type: Individual
Name: Jaqueline A Bodkin, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: May 18, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 700 BIRCH LN
City: Waynesville
State: Missouri
ZIP Code: 65583-2275
Phone: (573) 774-6456

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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