Individual
SETH BODAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
840 SW 4TH AVE STE 103, ONTARIO, OR 97914-2638
(541) 881-7330
Mailing address
5932 BLAINE RD, NEW PLYMOUTH, ID 83655-5207
(208) 230-4347
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-5702
ID
Other
Enumeration date
05/22/2018
Last updated
02/08/2023
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