Individual
DR. STEFANIE C BODISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
1540 ALCAZAR ST, CENTER FOR HEALTH PROFESSIONS (CHP) 133, LOS ANGELES, CA 90089-4712
(310) 990-3729
Mailing address
1540 ACAZAR CHP 133, LOS ANGELES, CA 90089-0001
(310) 990-3729
Taxonomy
Speciality
Code
Description
License number
State
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
Primary
6575
CA
225XP0200X
Pediatric Occupational Therapist
6575
CA
Other
Enumeration date
01/01/2011
Last updated
12/20/2018
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