| NPI | 1043280837 |
|---|---|
| Former Name | MANDY JO HOODJER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 03707) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: IA 00402) |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2009-03-18 |