Individual
BONNIE LYNN BODENSTEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
402 S JOHN REDDITT DR, LUFKIN, TX 75904-3108
(936) 632-2107
Mailing address
402 S JOHN REDDITT DR, LUFKIN, TX 75904-3108
(936) 632-2107
(936) 632-2108
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
008942-1
NY
225X00000X
Occupational Therapist
Primary
114951
TX
Other
Enumeration date
11/10/2011
Last updated
02/07/2020
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