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Contact Information

LESLIE J BODKIN, MS, OTR/L, CEIS
61 MEDFORD ST
SOMERVILLE, MA02143-3421
 Phone: 617-629-3919
 Fax: 617-629-4644
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for LESLIE J BODKIN · (Female)

NPI # 1073796900
Status Active
Credentials MS, OTR/L, CEIS
Entity Individual
Enumeration date 12/13/2007
Last updated 12/13/2007 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • MA License # AH6913-OT
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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