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Individual

DESIREE LYNN BODIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHYSICAL THERAPIST

Contact information

Practice address
200 PATEWOOD DR STE C150, GREENVILLE, SC 29615-6323
(864) 482-0972
Mailing address
5736 SKYVIEW WAY UNIT G, AGOURA HILLS, CA 91301-5701
(818) 590-2559

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9246
SC
225100000X
Physical Therapist
PT21366
CA

Other

Enumeration date
08/23/2018
Last updated
08/23/2018
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