| NPI | 1336322726 |
|---|---|
| Former Name | NICHOLE MICHELLE HODSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 23815) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 23815) |
| Enumeration Date | 2007-12-10 |
| Last Update Date | 2022-10-20 |