Individual
MRS. SARA LEA BODEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
3173 WINDLAND DR, GREEN BAY, WI 54311-7607
(920) 469-7133
Mailing address
3173 WINDLAND DR, GREEN BAY, WI 54311-7607
(920) 469-7133
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
1058-24
WI
Other
Enumeration date
11/30/2009
Last updated
11/30/2009
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