Individual
MR. ERIC BOONE HODGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
487A N MAIN, THAYNE, WY 83127
(307) 883-8877
(307) 883-8876
Mailing address
PO BOX 860, 487A N MAIN, THAYNE, WY 83127-0860
(307) 883-8877
(307) 883-8876
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR-538
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118717100
—
WY
Enumeration date
07/21/2006
Last updated
10/26/2017
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