Individual
MRS. JENNIFER P BODENSTEINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCCSLP
Contact information
Practice address
301 N ANKENY BLVD SUITE 200, ANKENY PHYSICAL SPORTS THERAPY, ANKENY, IA 50021
(515) 965-1422
(515) 965-1449
Mailing address
4101 NW 94TH AVE, POLK CITY, IA 50226
(515) 963-9422
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01277
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0166547
—
IA
Enumeration date
03/27/2006
Last updated
06/08/2022
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