Doctor Name: | JEFFREY JOHN BODROG |
NPI Number: | 1255492278 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | PT009810 |
Business Practice Address: | 3109 Green Garden Rd Suite 13 Aliquippa, PA - 150011069 |
Business Phone Number: | 7243788228 |
Business Fax Number: | |
Mailing Address: | 227 Meadowood Dr, NEW CUMBERLAND |
State: | WV |
Postal Code: | 260479744 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 12/13/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT009810 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
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 |