Individual
MRS. NANCY ANN HODEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1132 WATER VIEW LN, O FALLON, MO 63366-1476
(636) 978-8148
Mailing address
1132 WATER VIEW LN, O FALLON, MO 63366-1476
(636) 978-8148
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
RO217
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RO217
MISSOURI PT LISCENCE
MO
Enumeration date
02/11/2008
Last updated
02/11/2008
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