Individual
MISS CONNIE JEANNE BODNARIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3780 S CLYDE MORRIS BLVD APT 1206, PORT ORANGE, FL 32129
(407) 233-6818
Mailing address
3780 S CLYDE MORRIS BLVD APT 1206, PORT ORANGE, FL 32129-8992
(407) 233-6818
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA21710
FL
Other
Enumeration date
12/02/2009
Last updated
09/05/2018
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