| NPI | 1720384647 |
|---|---|
| Former Name | JOCELYN LEIGH BODKIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 77382942401) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist | |
| Enumeration Date | 2011-02-10 |
| Last Update Date | 2019-10-25 |