DR. Reva Hodge, EDD

NPI #1215016209 in Gaston, Indiana

Provider Information

NPI Number: 1215016209
Entity Type: Individual
Name: DR. Reva Hodge, EDD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: EDD
Enumeration Date: Nov 2, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 12650 W. COUNTY ROAD 1100 N.
City: Gaston
State: Indiana
ZIP Code: 47342
Phone: (765) 358-4649

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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