Individual
JULIA TAYLOR BODNAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
10450 LOTTSFORD RD, MITCHELLVILLE, MD 20721-2734
(301) 541-5017
(301) 541-5165
Mailing address
PO BOX 680, RIDERWOOD, MD 21139-0680
(937) 602-3501
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
24283
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
24283
—
MD
Enumeration date
04/26/2019
Last updated
12/20/2021
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