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Organization
RICHARD BODIAN, P.T.
Active
Organization
RICHARD BODIAN, P.T.
Active
Other names
One On One Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD A BODIAN P.T. (OWNER)
(718) 692-4100
Entity
Organization
Contact information
Practice address
4013 AVENUE U, BROOKLYN, NY 11234-5117
(718) 692-4100
Mailing address
4013 AVENUE U, BROOKLYN, NY 11234-5117
(718) 692-4100
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
013808-1
NY
225X00000X
Occupational Therapist
009469-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q3W1M1
MEDICARE NUMBER
NY
Enumeration date
08/08/2007
Last updated
08/08/2007
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