Individual
ALISSA LYNN HODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
12380 DE PAUL DR, BRIDGETON, MO 63044-2511
(314) 447-9700
Mailing address
9144 EAGER RD, SAINT LOUIS, MO 63144-1163
(217) 491-6039
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2025028482
MO
Other
Enumeration date
07/10/2025
Last updated
07/10/2025
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