SearchLouisiana208100000X

John Hodge, PTA

NPI 1811414642 · on the registry since 2017 · sole proprietor

Practice

Address
121 Carroll St
Shreveport, LA 71105
Phone
(318) 560-4326

Registry record

Primary taxonomy
208100000X
208100000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-08-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana