JOHN NICHOLAS HODGE

SHREVEPORT, LA
NPI1811414642
Other NameTREY HODGE
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: TX  2106291)
Enumeration Date2017-08-23
Last Update Date2017-08-23
Business Address
Mr. JOHN NICHOLAS HODGE PTA
121 CARROLL ST
SHREVEPORT, LA 71105
Phone number: 318-560-4326
Mailing Address
Mr. JOHN NICHOLAS HODGE PTA
121 CARROLL ST
SHREVEPORT, LA 71105-4203
Phone number:
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