Individual
MOLLY GRACE BODIFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
700 S J ST, LAKEVIEW, OR 97630-1623
(541) 947-2114
Mailing address
700 S J ST, LAKEVIEW, OR 97630-1623
(541) 947-2114
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
472996
OR
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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