Individual
KATINA HODGSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
320 N 7TH ST, CORNELL, WI 54732-8120
(715) 239-0440
Mailing address
320 N 7TH ST, CORNELL, WI 54732-8120
(715) 239-0440
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4795-027
WI
Other
Enumeration date
11/30/2010
Last updated
11/30/2010
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