Individual
ROBERTA REBECCA HODGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
429 W LINCOLN RD, KOKOMO, IN 46902-3508
(765) 453-5600
Mailing address
1901 S PARK RD APT A201, KOKOMO, IN 46902-6153
(765) 455-3712
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32000783A
IN
Other
Enumeration date
07/07/2008
Last updated
07/07/2008
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