Individual
DR. STEPHEN ROSS BODINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
3488 GONI RD STE 141, CARSON CITY, NV 89706-7970
(775) 887-5030
Mailing address
2955 BASELINE RD, BOULDER, CO 80303-2356
(303) 444-8707
(303) 444-8109
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0016085
CO
Other
Enumeration date
08/11/2012
Last updated
01/09/2019
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