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Contact Information

CONNIE J BODNARIK
3780 S CLYDE MORRIS BLVD APT 1206
PORT ORANGE, FL32129
 Phone: 407-233-6818
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy Assistant

225200000X
Indicates primary specialty

NPI Profile & details for CONNIE J BODNARIK · (Female)

NPI Number 1326376385
Status Active
Credentials
Entity Individual
Enumeration date 12/02/2009
Last updated 09/05/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # PTA21710
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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