Individual
MRS. CAROL BODNAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
1 HOBART RD, METHUEN, MA 01844-5213
(978) 683-6771
Mailing address
1 HOBART RD, METHUEN, MA 01844-5213
(978) 683-6771
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
38
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OG0031
BCBSMA GROUP NUMBER
MA
01
—
OT0107
BCBSMA PROVIDER NUMBER
MA
Enumeration date
03/21/2007
Last updated
07/08/2007
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