Individual
SHARALEE BODA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
830 W LAKE LANSING RD, SUITE 250, EAST LANSING, MI 48823-6371
(517) 333-8533
(517) 333-8539
Mailing address
PO BOX 558, DEWITT, MI 48820-0558
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201002709
MI
Other
Enumeration date
10/25/2012
Last updated
10/25/2012
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