MR. Travis Dale Hodgson, PTA
NPI #1386691632 in Olive Branch, Mississippi
Provider Information
- NPI Number
- 1386691632
- Entity Type
- Individual
- Name
- MR. Travis Dale Hodgson, PTA
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- May 30, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 7501 GOODMAN RD
- Address 2
- SUITE I
- City
- Olive Branch
- State
- Mississippi
- ZIP Code
- 38654
- Phone
- (662) 890-3382
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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