IndividualActive
Stefanie Bodison, OTD
NPI 1114221405 · Feeding, Eating & Swallowing Occupational Therapist · Los Angeles, CA
Provider details
- NPI number
- 1114221405
- Entity type
- Individual
- Primary specialty
- Feeding, Eating & Swallowing Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 6575 (CA)
Practice location
1540 Alcazar St
Center for Health Professions (chp) 133
Los Angeles, CA 90089-4712
Phone: (310) 990-3729
Mailing address
1540 Acazar Chp 133
Los Angeles, CA 90089-0001
Registry dates
- Enumerated
- 2011-01-01
- Last updated
- 2018-12-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.