Individual
MR. BENJAMIN VON HODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BACHELORS OF PHYSICA
Contact information
Practice address
698 MORRISON ROAD, COLUMBUS, OH 43213
(614) 868-1115
(614) 863-9338
Mailing address
5688 BURNTWOOD WAY, WESTERVILLE, OH 43081-6603
(614) 620-3009
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT010431
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2698371
—
OH
Enumeration date
01/23/2007
Last updated
07/08/2007
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