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Organization
WILLIAM KENTOPP AND JOHN J BODINE
Active
Organization
WILLIAM KENTOPP AND JOHN J BODINE
Active
Other names
Succeed Physical Therapy & Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
JIM BODINE PT, OCS (PRES/OWNER)
(480) 387-5429
Entity
Organization
Contact information
Practice address
1930 S ALMA SCHOOL RD, SUITE A-100, MESA, AZ 85210-3064
(480) 387-5429
Mailing address
1930 S ALMA SCHOOL RD, SUITE A-100, MESA, AZ 85210-3064
(480) 387-5429
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1328
AZ
Other
Enumeration date
10/30/2014
Last updated
01/15/2015
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