Individual
BROOKE HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1011 PORTERS NECK RD, WILMINGTON, NC 28411-9196
(910) 686-5614
Mailing address
1011 PORTERS NECK RD, WILMINGTON, NC 28411-9196
(910) 686-5614
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6008
NC
Other
Enumeration date
06/30/2009
Last updated
06/30/2009
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