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Betty Boddie, PT, DPT

Physical Therapist in Jacksonville Beach, FL. Individual provider (NPI-1).

NPI number1629848494
StatusActive
Last updated in NPPESJan 3, 2024

Details

NPI
1629848494
Entity type
Individual (NPI-1)
Name
Betty Boddie
Credential
PT, DPT
Sex
Female
Sole proprietor
No
Enumeration date
Jan 3, 2024
Certification date
Jan 3, 2024
Last updated
Jan 3, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical TherapistPT36530FLYes

Practice location

708 3rd St N
Jacksonville Beach, FL 32250-7149

Phone 904-822-4622

Mailing address

25 Linda Mar Dr
St Augustine, FL 32080-6961

Phone 910-599-4844

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