Provider Demographics
NPI:1013214410
Name:BODIU, MARIUS FLORIN (DPT)
Entity Type:Individual
Prefix:
First Name:MARIUS
Middle Name:FLORIN
Last Name:BODIU
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:398 CARDINAL RD
Mailing Address - Street 2:
Mailing Address - City:LITITZ
Mailing Address - State:PA
Mailing Address - Zip Code:17543-8856
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:201 TURNER MCCALL BLVD NW
Practice Address - Street 2:
Practice Address - City:ROME
Practice Address - State:GA
Practice Address - Zip Code:30165-2545
Practice Address - Country:US
Practice Address - Phone:706-235-2727
Practice Address - Fax:706-235-2726
Is Sole Proprietor?:No
Enumeration Date:2011-02-21
Last Update Date:2011-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT018822225100000X
GAPT010189225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist