Bodnarik, Connie Jeanne

Bodnarik, Connie Jeanne is an sole proprietor health care provider with primary practice located at 3780 S Clyde Morris Blvd Apt 1206 , Port Orange FL 32129. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Bodnarik, Connie Jeanne can be contacted via phone (407) 233-6818.

Contact Information

Primary practice address
3780 S Clyde Morris Blvd Apt 1206 Port Orange FL 32129
Phone: (407) 233-6818
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X PTA21710 Florida

Profile Details

NPI number 1326376385
LBN Legal business name Bodnarik, Connie Jeanne
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 2nd, 2009
Last updated Sep 5th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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