Individual
MS. CAMILLE DELORES HODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
9312 210TH PL, QUEENS VILLAGE, NY 11428-1056
(718) 468-0769
Mailing address
9312 210TH PL, QUEENS VILLAGE, NY 11428-1056
(718) 468-0769
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
004934-1
NY
Other
Enumeration date
02/02/2010
Last updated
02/02/2010
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