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1679502132
DALE MICHAEL BODMER
COLUMBUS, OH
NPI
1679502132
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
Additional Taxonomies
225700000X Massage Therapist
(Licence: OH 33.008563)
Enumeration Date
2006-06-30
Last Update Date
2021-06-03
Business Address
DALE MICHAEL BODMER LMT, PT
4589 KENNY RD STE 101
COLUMBUS, OH 43220-2778
Phone number: 614-578-7470
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Mailing Address
DALE MICHAEL BODMER LMT, PT
3474 CASTLETON ST
GROVE CITY, OH 43123-2125
Phone number: 614-578-7470
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