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NPI Code Detail

MEDICARE: MICHAELA M HODSON PT

MEDICARE: MICHAELA M HODSON PT
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 Therapist17482MA
2225100000XPhysical Therapist027082NY

General Provider Information

NPI Number : 1265550941
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAELA M HODSON PT
Provider Business Mailing Address
First Line : 1624 ANGELINA TER
Second Line :
City : SCHENECTADY
State : NY
Zip : 12303-5165
Country : US
Telephone Number : 518-248-0597
Fax Number :
Provider Business Practice Location Address
First Line : 100 SANDY DR
Second Line :
City : AMSTERDAM
State : NY
Zip : 12010-8191
Country : US
Telephone Number : 518-843-3503
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2007
Last Update Date : 02/22/2019

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