Individual
STACEY HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
435 DOE RUN RD, ROCKY MOUNT, VA 24151-6168
(540) 352-0110
Mailing address
435 DOE RUN RD, ROCKY MOUNT, VA 24151-6168
(540) 352-0110
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306603339
VA
Other
Enumeration date
09/30/2015
Last updated
09/30/2015
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