Individual
CHRISTINE M BODNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
390 LINCOLN ST STE 230, EUGENE, OR 97401-6021
(541) 255-2095
(541) 255-2445
Mailing address
390 LINCOLN ST STE 230, EUGENE, OR 97401-6021
(541) 255-2095
(541) 255-2445
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5500
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
218696
—
OR
01
—
R190152
MEDICARE PTAN
OR
Enumeration date
09/11/2007
Last updated
01/18/2018
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