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NPI Code Detail

MEDICARE: MS. WENDY W HODGE M.P.T.

MEDICARE:  MS. WENDY W HODGE  M.P.T.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist8329CO
2225100000XPhysical Therapist22936MA

General Provider Information

NPI Number : 1093799629
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. WENDY W HODGE M.P.T.
Provider Business Mailing Address
First Line : 489 WASHINGTON ST
Second Line : STE 200
City : AUBURN
State : MA
Zip : 01501-5709
Country : US
Telephone Number : 774-696-8309
Fax Number : 508-497-9201
Provider Business Practice Location Address
First Line : 65 SOUTH ST STE 101
Second Line :
City : HOPKINTON
State : MA
Zip : 01748-2234
Country : US
Telephone Number : 508-721-0000
Fax Number : 508-497-9201
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2005
Last Update Date : 12/23/2023

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Directions to “ MS. WENDY W HODGE M.P.T.” Practice Location

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