Individual
OLIVIA BODWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1 OHIO UNIVERSITY, ATHENS, OH 45701-2979
(608) 609-3474
Mailing address
3325 STEVENS ST APT 2W, MADISON, WI 53705-3433
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/18/2020
Last updated
08/18/2020
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