Individual
DANIEL WAYNE BODKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT,DPT,ATC
Contact information
Practice address
13801 BRUCE B DOWNS BLVD STE 303, TAMPA, FL 33613-3939
(813) 979-4819
Mailing address
9824 BROMPTON DR, TAMPA, FL 33626-5125
(813) 979-4819
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT27572
FL
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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