Individual
JANIE CAROL HODGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.P.T.A.
Contact information
Practice address
10300 W 103RD ST, SUITE 300 QUANTUM HEALTH PROFESSIONALS, OVERLAND PARK, KS 66214
(913) 894-1910
Mailing address
6920 RENE CT, SHAWNEE, KS 66216-2354
(913) 980-1375
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
117739
MO
174400000X
Specialist
Primary
14-00147
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
117739
C.P.T.A.
MO
01
—
14-00147
C.P.T.A.
KS
Enumeration date
03/02/2007
Last updated
07/08/2007
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