Individual
JUWANA HODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6004 WESTGATE BLVD, TACOMA, WA 98406-2503
(253) 759-4065
Mailing address
6611 MCKINLEY AVE, TACOMA, WA 98404-1814
(253) 228-5770
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160236507
WA
Other
Enumeration date
11/16/2012
Last updated
11/16/2012
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