Individual
HODGE JAMES BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTD, OTR/L
Contact information
Practice address
3691 NE AKIN DR UNIT B, LEES SUMMIT, MO 64064-8053
(605) 838-8413
Mailing address
1 MARCUS DR STE 102, GREENVILLE, SC 29615-4818
(864) 244-3626
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
17-04123
KS
225X00000X
Occupational Therapist
Primary
2023005704
MO
Other
Enumeration date
12/15/2023
Last updated
12/15/2023
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