Individual
TROY HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
275 W TIETAN ST, WALLA WALLA, WA 99362-4363
(509) 522-0114
Mailing address
110 S BLUE ST, WALLA WALLA, WA 99362-2440
(509) 944-1418
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P1 60171623
WA
Other
Enumeration date
10/22/2010
Last updated
10/22/2010
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