Individual
MRS. PAULA JOAN HODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
725 WESSOR AVE, WILLARD, OH 44890
(419) 935-6511
(419) 933-1630
Mailing address
2332 FOREST HILL CIRCLE, MANSFIELD, OH 44903
(419) 529-5780
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
02481
OH
Other
Enumeration date
04/23/2008
Last updated
04/23/2008
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