Individual
MS. JOAN CAROL BODNAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2301 N LAKE DR, MILWAUKEE, WI 53211-4508
(414) 298-6730
Mailing address
3859 S AUSTIN ST, MILWAUKEE, WI 53207-3912
(414) 481-2360
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
772019
WI
Other
Enumeration date
10/19/2011
Last updated
10/19/2011
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