Individual
LUCAS ALAN BODINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1839
(602) 284-1890
Mailing address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1839
(602) 284-1890
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
31532
AZ
Other
Enumeration date
11/07/2020
Last updated
11/12/2020
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