| NPI | 1700255296 |
|---|---|
| Former Name | CASEY HODGIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ND 2084) |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2021-09-10 |