Individual
DEBORAH BODIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T., M.P.T.
Contact information
Practice address
1515 E CEDAR AVE STE E-2, FLAGSTAFF, AZ 86004-1646
(928) 214-7430
(928) 214-6022
Mailing address
906 W UNIVERSITY AVE, STE 120, FLAGSTAFF, AZ 86001-7115
(928) 214-7430
(928) 214-6022
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2867
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
335225
—
AZ
Enumeration date
09/25/2006
Last updated
09/23/2016
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