Individual
SARA LYN HODGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1909 N MORTON AVE, MORTON, IL 61550-1426
(309) 266-5488
(309) 266-9144
Mailing address
1909 N MORTON AVE, MORTON, IL 61550-1426
(309) 266-5488
(309) 266-9144
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160005447
IL
Other
Enumeration date
05/17/2011
Last updated
05/17/2011
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