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NPI Code Detail

MEDICARE: ANDREW BODZIONY ATC

MEDICARE:   ANDREW  BODZIONY  ATC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12255A2300XAthletic TrainerAT004695OH

General Provider Information

NPI Number : 1871982488
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW BODZIONY ATC
Provider Business Mailing Address
First Line : 21500 EMERY RD
Second Line :
City : CLEVELAND
State : OH
Zip : 44128-4546
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 21500 EMERY RD
Second Line :
City : CLEVELAND
State : OH
Zip : 44128-4546
Country : US
Telephone Number : --
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2015
Last Update Date : 02/11/2025

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Directions to “ ANDREW BODZIONY ATC” Practice Location

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