Individual
SUSAN MARIE HODGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
20202 W INDIANA LN, MEDICAL LAKE, WA 99022-8747
(509) 993-1134
(509) 244-9547
Mailing address
20202 W INDIANA LN, MEDICAL LAKE, WA 99022-8747
(509) 993-1134
(509) 244-9547
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC 00000986
WA
Other
Enumeration date
01/04/2013
Last updated
01/04/2013
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