Individual
MISS SUSAN ADELE HODGMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2100 MAIN ST, SUITE 250, HUNTINGTON BEACH, CA 92648-2475
(714) 374-0233
(714) 374-0244
Mailing address
800 TERMINO AVE APT 14, LONG BEACH, CA 90804-5494
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT1034
CA
Other
Enumeration date
05/16/2008
Last updated
05/16/2008
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