Mathias Boddicker III
Mathias Boddicker III is a Physical Therapist in Laurel, Maryland. Licensed in Maryland. Registered with an NPI since 2016.
- Licensed in
- MD
- In the registry since
- 2016
Practice location Address checks out
14435 Cherry Lane Ct Ste Number 100Laurel, MD 20707-4959
Phone: (301) 776-3665
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 25618 (MD) |
|---|
Record details
| NPI number | 1770946758 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 29, 2016 |
| Last updated in NPPES | March 29, 2016 |
| Mailing address | 14435 Cherry Lane Ct, Laurel, MD 20707-4959 |
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