TRAVIS DALE HODGSON

OLIVE BRANCH, MS
NPI1386691632
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MS  PTA3566)
Enumeration Date2006-05-30
Last Update Date2007-07-08
Business Address
Mr. TRAVIS DALE HODGSON PTA
7501 GOODMAN RD SUITE I
OLIVE BRANCH, MS 38654
Phone number: 662-890-3382
Mailing Address
Mr. TRAVIS DALE HODGSON PTA
9100 CHAMPLAIN DR
OLIVE BRANCH, MS 38654
Phone number: 662-893-7570
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