Individual
NIKKIA HODGE-DRAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
605 PENSTOCK PATH, HAMPTON, GA 30228-4936
(718) 427-6103
Mailing address
605 PENSTOCK PATH, HAMPTON, GA 30228-4936
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT004662
GA
Other
Enumeration date
12/03/2010
Last updated
12/03/2010
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