NPI 1932437001

Sara Lea Bodem, PHYSICALTHERAPIST

Practitioner Health Educator Green Bay, WI

Practice location

Address: 3173 Windland Dr, Green Bay, WI 54311-7607
Phone: (920) 469-7133

Registered specialties

Health Educator Primary

Other Service Providers Taxonomy 174H00000X Licence 1058-24 (WI)

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Registry record

NPI: 1932437001
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Nov 2009
Record last updated: 30 Nov 2009

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.