Doctor Name: | MRS. ANNE HILL BODDY |
NPI Number: | 1154460343 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.P.T. |
License Number: | 22764 |
Business Practice Address: | 190 Southpark Blvd Suite 100 St Augustine, FL - 320864120 |
Business Phone Number: | 9048241478 |
Business Fax Number: | 9048248071 |
Mailing Address: | 1413 Vista Cove Rd, ST AUGUSTINE |
State: | FL |
Postal Code: | 320843036 |
Phone Number: | 0948081239 |
Fax Number: | |
NPI Enumeration Date: | 02/05/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 22764 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |