Individual
MRS. GAIL ANN HODGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
10300 W 103RD ST, SUITE 300, OVERLAND PARK, KS 66214-2642
(913) 894-1910
(913) 894-1174
Mailing address
6603 E 18TH ST, KANSAS CITY, MO 64126-2751
(816) 483-5688
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
116690
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116690
PTA
MO
Enumeration date
03/14/2007
Last updated
07/08/2007
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