Individual
JESSE AUSTEN HODAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
11058 CEDAR WALK LN UNIT B, CHARLOTTE, NC 28277-4333
(704) 277-9099
Mailing address
11058 CEDAR WALK LN UNIT B, CHARLOTTE, NC 28277-4333
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-3918
NC
Other
Enumeration date
07/20/2018
Last updated
07/20/2018
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