| 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 |