Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISA J BODOR
Active Sole ProprietorLISA J BODOR is a Physical Therapy Assistant healthcare provider located in LEESPORT, Pennsylvania. NPI 1356467252 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · LEESPORT, PA
Registration Details
- NPI Number
- 1356467252
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 22, 2007 (19.389220834562 yrs)
- Last Updated
- Jul 8, 2007
- License
-
PT006907L (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1011 BERKS RDLEESPORT, PA, 19533Browse PA providers · Browse ZIP 19533
- Phone
- 6103764841
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in LEESPORT, PA
| Name | Credential | NPI |
|---|---|---|
| JUSTIN D EISENHOFER | DPT, OCS, CSCS | 1649284977 |
| KATHRYN E MITTEN | — | 1083731764 |
| MRS. GENEVIEVE BEETHAM PALLAS | PT | 1902020282 |
| MR. STEPHEN GREGG DECKER | MPT | 1306019369 |
| MARK JOSEPH MEHALKO | DPT | 1932451143 |
| KRISTIN WALDROP | — | 1164818266 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.