Individual
JORDAN HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
12502 PONCA RD, OMAHA, NE 68112-1028
(402) 981-9722
Mailing address
12502 PONCA RD, OMAHA, NE 68112-1028
(402) 981-9722
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1288
NE
Other
Enumeration date
06/19/2014
Last updated
06/19/2014
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