Individual
JONATHON DAVID BODAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1076 W CHANDLER BLVD, CHANDLER, AZ 85224-5225
(480) 821-1997
Mailing address
1076 W CHANDLER BLVD, STE 103, CHANDLER, AZ 85224-5223
(480) 821-1997
(480) 821-1997
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13270
AZ
Other
Enumeration date
09/18/2017
Last updated
10/03/2017
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