Individual
SARAH JEAN HODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2300 JACK FINNEY BLVD, GREENVILLE, TX 75402-3763
(903) 455-7942
Mailing address
2511 BEVERLY DR, GREENVILLE, TX 75402-6801
(912) 409-4607
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
212610
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
212610
TEXAS BOARD OF OCCUPATIONAL THERAPY EXAMINERS
TX
Enumeration date
05/09/2019
Last updated
05/09/2019
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