Individual
ELAINE A. BODA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
9600 BROADWAY EXT, OKLAHOMA CITY, OK 73114-7408
(405) 230-9575
(405) 230-9157
Mailing address
9600 BROADWAY EXT, OKLAHOMA CITY, OK 73114-7408
(405) 230-9575
(405) 230-9157
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2163
OK
Other
Enumeration date
03/27/2007
Last updated
10/09/2019
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