NPI | 1780800235 |
---|---|
Former Name | LORRIE ANN HODGE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 2480) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 15070) |
Enumeration Date | 2007-04-17 |
Last Update Date | 2018-11-29 |