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Individual

MRS. OLGA HODGETTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
418 W CLEVELAND RD, GRANGER, IN 46530-5638
(574) 271-8424
Mailing address
53060 COUNTY MURRAY DR, GRANGER, IN 46530-8992
(412) 706-0436

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05012062A
IN
225100000X
Physical Therapist
PT020294
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
05012062A
IN
Enumeration date
08/29/2017
Last updated
08/29/2017
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