Whalio Doctors

NPI 1083278212

Jessica Lyn Bodary, MPOCPO

Practitioner Orthotist Chula Vista, CA

Practice location

Address
895 Third Ave Bldg 2, Chula Vista, CA 91911-1304
Phone
(619) 585-8421
Mailing address
4117 Idaho St, San Diego, CA 92104-1805

Registered specialties (2)

Orthotist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence CPO04202 (CA)
Prosthetist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence CPO04202 (CA)

Registry record

NPI
1083278212
Entity type
Individual
Sex (as registered)
Female
NPI issued
23 Apr 2019
Record last updated
23 Apr 2019

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.