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Individual

SHANNA RAE HODGES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
7090 COVENANT WOODS DR, MECHANICSVILLE, VA 23111
(804) 569-8000
Mailing address
7090 COVENANT WOODS DR, MECHANICSVILLE, VA 23111-7025
(804) 569-8000

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131001792
VA

Other

Enumeration date
03/08/2023
Last updated
03/08/2023
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