Individual
CHRISTINE RUTH DODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
10 NEWPORT BEACH BLVD, EAST MORICHES, NY 11940-1566
(631) 874-9503
Mailing address
10 NEWPORT BEACH BLVD, EAST MORICHES, NY 11940-1566
(631) 874-9503
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
005333-1
NY
Other
Enumeration date
08/15/2008
Last updated
08/15/2008
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