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Individual

DALE MICHAEL BODMER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT, PT

Contact information

Practice address
4589 KENNY RD STE 101, COLUMBUS, OH 43220-2778
(614) 578-7470
(855) 578-7470
Mailing address
3474 CASTLETON ST, GROVE CITY, OH 43123-2125
(614) 578-7470
(855) 578-7470

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
OH
225700000X
Massage Therapist
33.008563
OH

Other

Enumeration date
06/30/2006
Last updated
06/03/2021
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