| NPI | 1124111422 |
|---|---|
| Former Name | AMY HODGIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05007319A) |
| Additional Taxonomies | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: IN 05007319A) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2023-04-07 |