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Individual

MAXWELL JON BODHOLDT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
1001 PENNSYLVANIA AVE, OTTUMWA, IA 52501-6427
(641) 684-2300
Mailing address
4250 N DRINKWATER BLVD STE 100, SCOTTSDALE, AZ 85251-3982
(855) 466-8773

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
127542
IA

Other

Enumeration date
09/04/2024
Last updated
09/04/2024
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