Individual
ANITA JOY HODGIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5040 TENNYSON ST, DENVER, CO 80212-2930
(720) 620-7907
Mailing address
5040 TENNYSON ST, DENVER, CO 80212-2930
(720) 620-7907
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001287
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12877
MEDICARE
MN
Enumeration date
04/10/2013
Last updated
04/10/2013
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