Individual
MS. MELISSA ANNE HODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1421 RIDGETREE TRAILS DR, WILDWOOD, MO 63021-5944
(314) 488-0981
Mailing address
1421 RIDGETREE TRAILS DR, WILDWOOD, MO 63021-5944
(314) 488-0981
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
110401
MO
Other
Enumeration date
10/15/2009
Last updated
03/03/2020
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