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Individual
JORDAN R HODGE
Active
Individual
JORDAN R HODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
050775
NY
225100000X
Physical Therapist
Primary
12305
SC
Other
Enumeration date
09/01/2023
Last updated
07/11/2025
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