Joan Carol Bodnar PTA

NPI 1093090201 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1093090201
Gender Female
Enumeration Date 10/19/2011
Last Updated 10/19/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
2301 N LAKE DR
MILWAUKEE WI, 53211-4508, US
Phone (414) 298-6730
Fax
Business Location
3859 S AUSTIN ST
MILWAUKEE WI, 53207-3912, US
Phone (414) 481-2360
Fax
Toxanomy
Taxonomy Code 225200000X
License State Wisconsin
License Number 772019
Remove 1093090201 NPI Number
 

According to our database, Ms. Joan Carol Bodnar PTA NPI is 1093090201, taxonomy code is 225200000X and license number is 772019, license state is located at Wisconsin. Joan Carol Bodnar PTA physically located at 2301 N Lake Dr, Milwaukee WI, 53211-4508. NPI Number Joan Carol Bodnar PTA has the Individual type.

Sponsored links

1093090201 NPI number is provided on an as is basis without warranty of any kind. 1093090201 is maintained by the National Plan & Provider Enumeration System. The contents of Joan Carol Bodnar PTA are for informational purposes only.