Individual
MRS. AMANDA MARIE DODGE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
112 MAIN ST, HARDY PHYSICAL THERAPY REHABILITATIONS SERVICES INC, NORTHBOROUGH, MA 01532
(508) 393-7298
(508) 393-1338
Mailing address
112 MAIN ST, NORTHBOROUGH MEDICAL BUILDING, NORTHBOROUGH, MA 01532
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
468920
TUFTS
—
01
—
Y68332
BCBS
—
Enumeration date
02/22/2006
Last updated
07/08/2007
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