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Individual

DANA M HODSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
311 S L ST, TACOMA, WA 98405-3720
(253) 403-1419
Mailing address
311 S L ST, TACOMA, WA 98405-3720
(253) 403-1419

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
OT00003749
WA
225X00000X
Occupational Therapist
Primary
OT00003749
WA
225X00000X
Occupational Therapist
225XP0019X
Physical Rehabilitation Occupational Therapist
225XP0200X
Pediatric Occupational Therapist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8384554
WA
01
8634HO
REGENCE
WA
Enumeration date
08/21/2006
Last updated
05/28/2021
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