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Individual

MRS. BENITA JO DOUGHTY HODGES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
303 LOVERS LN, BOWLING GREEN, KY 42103-7935
(270) 781-5150
(270) 781-2392
Mailing address
303 LOVERS LN, BOWLING GREEN, KY 42103-7935
(270) 781-5150
(270) 781-2392

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
0000002608
TN
225100000X
Physical Therapist
Primary
002893
KY
225100000X
Physical Therapist
1715
OK

Other

Enumeration date
02/22/2006
Last updated
02/15/2008
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