Individual
TIFFANY N BODREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
915 W LAUREL AVE, FOLEY, AL 36535-1324
(251) 943-5440
(251) 943-5404
Mailing address
915 W LAUREL AVE, FOLEY, AL 36535-1324
(251) 943-5440
(251) 943-5404
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA6330
AL
Other
Enumeration date
01/24/2012
Last updated
01/24/2012
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