Organization
MOBILITY PROJECT PHYSICAL THERAPY P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTINE M BODNER PT, DPT, CLT (PRACTICE OWNER/PHYSICAL THERAPIST)
(541) 255-2095
Entity
Organization
Contact information
Practice address
390 LINCOLN ST STE 230, EUGENE, OR 97401-6021
(541) 255-2095
(541) 255-2445
Mailing address
390 LINCOLN ST STE 230, EUGENE, OR 97401
(541) 255-2095
(541) 255-2445
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
5500
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R190987
MEDICARE PTAN
OR
Enumeration date
08/10/2016
Last updated
07/03/2019
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