Individual
ALICIA MARIE BODDIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
765 ALLENS AVE, PROVIDENCE, RI 02905-5443
(401) 432-6800
Mailing address
529 EATON ST, PROVIDENCE, RI 02908-2149
(617) 777-3928
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT01211
RI
Other
Enumeration date
08/04/2010
Last updated
08/04/2010
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