Individual
MR. JOHN JAMES BODINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, OCS
Contact information
Practice address
1500 S DOBSON RD STE 314, MESA, AZ 85202-4752
(480) 833-7879
(480) 844-8411
Mailing address
1500 S DOBSON RD STE 314, MESA, AZ 85202-4752
(480) 833-7879
(480) 844-8411
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
1328
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1328
LICENSE
AZ
Enumeration date
08/14/2006
Last updated
07/08/2007
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