NPI 1043844822
Monic Boddy, PTA
Practice location
- Address
- 1120 W Donegan Ave, Kissimmee, FL 34741-2247
- Phone
- (404) 432-2297
- Mailing address
- 513 Blake Ave, Davenport, FL 33897-6205
Registered specialties
Physical Therapy Assistant
Primary
Registry record
- NPI
- 1043844822
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 2 Mar 2020
- Record last updated
- 2 Mar 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.