Individual
ANNA HODEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
112 NE MADISON AVE, PEORIA, IL 61602-1109
(309) 674-7874
(309) 674-7874
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(843) 824-2183
(843) 553-3221
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070023167
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070023167
PROFESSIONAL LICENSE
IL
Enumeration date
09/08/2017
Last updated
08/05/2020
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