Individual
ADRIANNE HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T., M.S.
Contact information
Practice address
1271 W DANFORTH RD, EDMOND, OK 73003-4803
(405) 396-8000
(405) 726-8181
Mailing address
1271 W DANFORTH RD, EDMOND, OK 73003-4803
(405) 396-8000
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT3030
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200702590A
—
OK
Enumeration date
04/05/2017
Last updated
03/17/2018
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