Individual
PROF. MUILIN M HODGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
233 DOUCET RD, SUITE B2, LAFAYETTE, LA 70503-3403
(337) 991-9972
(337) 991-9974
Mailing address
42577 LILLIE DR, PONCHATOULA, LA 70454-4780
(337) 280-3738
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01527F
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT LICENSE NUMBER
01527F
LA
Enumeration date
07/21/2006
Last updated
07/21/2022
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