Individual
KELLY D HODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT/L
Contact information
Practice address
345 BAYSHORE BLVD, 1611, TAMPA, FL 33606-2344
(813) 389-3239
Mailing address
345 BAYSHORE BLVD, 1611, TAMPA, FL 33606-2344
(813) 389-3239
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0006255
FL
Other
Enumeration date
11/18/2009
Last updated
11/18/2009
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