Individual
MRS. RACHEL MARIE HODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4488 WALTHAM DR, MANLIUS, NY 13104-9589
(315) 256-7002
(315) 682-0379
Mailing address
4488 WALTHAM DR, MANLIUS, NY 13104-9589
(315) 256-7002
(315) 682-0379
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
006353-1
NY
Other
Enumeration date
10/28/2008
Last updated
05/16/2011
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