Individual
MRS. MONIC BODDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1120 W DONEGAN AVE, KISSIMMEE, FL 34741-2247
(404) 432-2297
Mailing address
513 BLAKE AVE, DAVENPORT, FL 33897-6205
(407) 844-1970
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA24824
FL
Other
Enumeration date
03/02/2020
Last updated
03/02/2020
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