Individual
LESLIE RENEE HODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1438 SEYMOUR DR, SOUTH BOSTON, VA 24592-3916
(434) 517-9947
(434) 517-9949
Mailing address
1438 SEYMOUR DR, SOUTH BOSTON, VA 24592-3916
(434) 517-9947
(434) 517-9949
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126001720
VA
Other
Enumeration date
12/13/2013
Last updated
12/13/2013
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