Most Relevant Information
Provider Data
| NPI Number: | 1003374042 |
| Provider Name: | MICHELA ANNE BODINAKU PT, DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 22451 |
Most Important Dates
| Enumeration Date: | 03/08/2019 |
| Last Updated: | 03/08/2019 |
Provider Practice Location
210 BROADWAY APT 103
EVERETT
MA
021492426
Practice Location Phone/Fax
| Phone: | 7814434677 |
| Fax: |
Provider Mailing Location
210 BROADWAY APT 103
EVERETT
MA
021492426
Provider Mailing Phone/Fax
| Phone: | 7814434677 |
| Fax: |