Individual
MR. JONATHAN JAMES HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
653 CAMINO DE LOS MARES, SUITE 110, SAN CLEMENTE, CA 92673-2808
(949) 496-0122
(949) 496-5027
Mailing address
653 CAMINO DE LOS MARES, SUITE 110, SAN CLEMENTE, CA 92673-2808
(949) 496-0122
(949) 496-5027
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
34260
CA
Other
Enumeration date
12/05/2007
Last updated
12/05/2007
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