Individual
MRS. STEPHANIE MICHELLE HODUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
11 CENTRE DR STE D, MONROE, NJ 08831-1865
(609) 924-5044
Mailing address
22 WICKOM AVE, HAMILTON, NJ 08690-1615
(609) 203-8314
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00308500
NJ
Other
Enumeration date
08/02/2016
Last updated
08/02/2016
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