MARTIN DALE HODGES

REPUBLIC, MO
NPI1013539048
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MO  2005010778)
Enumeration Date2020-05-13
Last Update Date2020-05-13
Business Address
MARTIN DALE HODGES
830 S ILLINOIS AVE
REPUBLIC, MO 65738-1177
Phone number: 417-269-1900
Mailing Address
MARTIN DALE HODGES
830 S ILLINOIS AVE
REPUBLIC, MO 65738-1177
Phone number: 417-269-1900