LUCAS ALAN BODINE

PHOENIX, AZ
NPI1568063220
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: AZ  31532)
Enumeration Date2020-11-07
Last Update Date2020-11-12
Business Address
LUCAS ALAN BODINE
650 E INDIAN SCHOOL RD
PHOENIX, AZ 85012-1839
Phone number: 602-284-1890
Mailing Address
LUCAS ALAN BODINE
650 E INDIAN SCHOOL RD
PHOENIX, AZ 85012-1839
Phone number: 602-284-1890