IndividualActive
Allyson Bodamer, MS OTR/L
NPI 1548790363 · Gerontology Occupational Therapist · Winston Salem, NC
Provider details
- NPI number
- 1548790363
- Entity type
- Individual
- Primary specialty
- Gerontology Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MS OTR/L
- Sex
- Female
- Sole proprietor
- No
- License
- 9853 (NC)
Practice location
190 Kimel Park Dr Ste 139
Winston Salem, NC 27103-6946
Phone: (336) 718-6931
Mailing address
190 Moravian Way Dr
Winston Salem, NC 27106-3216
Registry dates
- Enumerated
- 2017-06-14
- Last updated
- 2024-06-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.