Individual
ALYSSA HETLAGE BODINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4708
AL
Other
Enumeration date
05/09/2018
Last updated
05/09/2018
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