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1639904279
MAXWELL JON BODHOLDT
OTTUMWA, IA
NPI
1639904279
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: IA 127542)
Enumeration Date
2024-09-04
Last Update Date
2024-09-04
Business Address
MAXWELL JON BODHOLDT DPT
1001 PENNSYLVANIA AVE
OTTUMWA, IA 52501-6427
Phone number: 641-684-2300
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Mailing Address
MAXWELL JON BODHOLDT DPT
4250 N DRINKWATER BLVD STE 100
SCOTTSDALE, AZ 85251-3982
Phone number: 855-466-8773
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