Individual
MRS. VICTORIA ERIN BODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LOTR
Contact information
Practice address
1401 FOUCHER ST, NEW ORLEANS, LA 70115-3515
(504) 897-8591
Mailing address
1111 FERN ST, NEW ORLEANS, LA 70118-3911
(484) 995-4009
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT.200532
LA
Other
Enumeration date
08/17/2016
Last updated
08/17/2016
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