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Individual
ERIC S BODEN
Active
Individual
ERIC S BODEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
021876
NY
225100000X
Physical Therapist
Primary
40QA00918000
NJ
Other
Enumeration date
04/05/2006
Last updated
01/25/2018
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