Individual
MARK BODIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1004 N WALNUT ST, MILFORD, DE 19963-1244
(302) 422-6670
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J10001805
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558389759
—
DE
01
—
3502360000
IBC AMERIHEALTH
—
01
—
5070-0094
GHMSI
MD
01
—
64332706
CAREFIRST MD
MD
Enumeration date
07/17/2006
Last updated
03/22/2013
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