DIAMONTA TRAVON HODGE

MICHIGAN CITY, IN
NPI1588409387
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IN  06006775A)
Enumeration Date2024-06-25
Last Update Date2024-06-25
Business Address
DIAMONTA TRAVON HODGE PTA
3710 FRANKLIN ST
MICHIGAN CITY, IN 46360-7311
Phone number: 219-561-0828
Mailing Address
DIAMONTA TRAVON HODGE PTA
5489 DEXTER DR
MERRILLVILLE, IN 46410-1744
Phone number: 219-484-8291