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Individual

MRS. MARLA LECOMTE HODGES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSPT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH4390
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
418961932
TRICARE
AL
01
515-97596
BCBS
AL
01
51520639
BLUE CROSS
AL
01
6400002
UNITED HEALTH CARE
AL
Enumeration date
08/31/2006
Last updated
09/15/2009
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