Individual
ANN MARIE BODINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5455 KNICKERBOCKER RD, SAN ANGELO, TX 76904-7711
(325) 944-1600
Mailing address
5455 KNICKERBOCKER RD, SAN ANGELO, TX 76904-7711
(325) 944-1600
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2087170
TX
Other
Enumeration date
08/16/2018
Last updated
08/16/2018
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