Individual
ALLYSON BODAMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
190 KIMEL PARK DR STE 139, WINSTON SALEM, NC 27103-6946
(336) 718-6931
Mailing address
190 MORAVIAN WAY DR, WINSTON SALEM, NC 27106-3216
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
9853
NC
Other
Enumeration date
06/14/2017
Last updated
06/10/2024
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