Individual
DANIELLE LYNN BODEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
514 ORCHARD ST, PORTAGE, PA 15946-1626
(814) 421-5753
Mailing address
514 ORCHARD ST, PORTAGE, PA 15946-1626
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL016512
PA
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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