Individual
MS. LAUREN JANE BODKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S OTR
Contact information
Practice address
64 TUXEDO DR, WAYNE, NJ 07470-2740
(973) 460-7379
Mailing address
64 TUXEDO DR, WAYNE, NJ 07470-2740
(973) 460-7379
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
63 014511
NY
Other
Enumeration date
10/30/2008
Last updated
10/24/2011
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