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NPI Code Detail

MEDICARE: MELISSA HODGES MS OTR/L

MEDICARE: MELISSA HODGES MS OTR/L
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
1225X00000XOccupational Therapist7474NC

General Provider Information

NPI Number : 1477947471
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA HODGES MS OTR/L
Provider Business Mailing Address
First Line : 4924 HOLLAND CHURCH RD
Second Line :
City : RALEIGH
State : NC
Zip : 27603-9729
Country : US
Telephone Number : 919-896-2249
Fax Number :
Provider Business Practice Location Address
First Line : 4924 HOLLAND CHURCH RD
Second Line :
City : RALEIGH
State : NC
Zip : 27603-9729
Country : US
Telephone Number : 252-916-7827
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2015
Last Update Date : 02/11/2025

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