JUWANA HODGE

TACOMA, WA
NPI1619211430
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WA  P160236507)
Enumeration Date2012-11-16
Last Update Date2012-11-16
Business Address
-- JUWANA HODGE PTA
6004 WESTGATE BLVD
TACOMA, WA 98406-2503
Phone number: 253-759-4065
Mailing Address
-- JUWANA HODGE PTA
6611 MCKINLEY AVE
TACOMA, WA 98404-1814
Phone number: 253-228-5770