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Individual

JILLIAN MICHELLE HODGES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4888 LOOP CENTRAL DR STE 200, HOUSTON, TX 77081-2227
(713) 838-9050
(713) 838-9098
Mailing address
4888 LOOP CENTRAL DR STE 200, HOUSTON, TX 77081-2227
(713) 838-9050
(713) 838-9098

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
305075
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
149984001
TX
05
207164901
TX
Enumeration date
01/12/2012
Last updated
06/10/2024
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