| NPI | 1104873363 |
|---|---|
| Other Name | JODIE STOGNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MS PT3204) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH4728) |
| 225100000X Physical Therapist (Licence: TN PT7497) | |
| 225100000X Physical Therapist (Licence: LA TP#06987R) | |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2007-07-08 |