Individual
LORAINE BODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
10-42 MITCHELL AVE, BINGHAMTON, NY 13903-1617
(607) 762-2100
(607) 762-2034
Mailing address
3 UNADILLA ST, BINGHAMTON, NY 13903-3323
(607) 725-4351
Taxonomy
Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
005589-1
NY
Other
Enumeration date
07/08/2016
Last updated
07/08/2016
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