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Individual
SHANNON M BODDY
Active
Individual
SHANNON M BODDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
19286
CA
225XG0600X
Gerontology Occupational Therapist
12826
OH
Other
Enumeration date
10/13/2018
Last updated
07/03/2024
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