Individual
BOBBI JEAN DODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
103 W LOOP 281, SUITE 800, LONGVIEW, TX 75605-4653
(903) 315-5580
Mailing address
103 W LOOP 281, SUITE 800, LONGVIEW, TX 75605-4653
(903) 315-5580
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2048637
TX
Other
Enumeration date
07/17/2008
Last updated
07/17/2008
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