Individual
ALLYSON HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9201 S I 35 SERVICE RD, MOORE, OK 73160-9046
(405) 601-4303
Mailing address
1101 SE 11TH ST, MOORE, OK 73160-7004
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
CF651
OK
Other
Enumeration date
05/21/2024
Last updated
09/11/2024
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