Individual
MADISON HODGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
560 JOHNSON RIDGE RD, ELKIN, NC 28621-2420
(336) 835-7802
Mailing address
263 MAPLE HOLLOW RD, MOUNT AIRY, NC 27030-8745
(336) 930-2466
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12255
NC
Other
Enumeration date
01/19/2021
Last updated
01/19/2021
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