Individual
MARY L HODGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 2ND AVE W APT 1013, WILLISTON, ND 58801-4108
(701) 572-6766
Mailing address
621 42ND ST E APT 1013, WILLISTON, ND 58801-6844
(540) 420-4653
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1286A
ND
Other
Enumeration date
06/01/2020
Last updated
06/01/2020
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