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NPI Code Detail

MEDICARE: MR. HODSON BROWN DPT

MEDICARE: MR. HODSON BROWN DPT
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 Therapist09385LA

General Provider Information

NPI Number : 1770933426
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. HODSON BROWN DPT
Provider Business Mailing Address
First Line : 906 HOMER RD
Second Line :
City : MINDEN
State : LA
Zip : 71055-3024
Country : US
Telephone Number : 318-371-6666
Fax Number : 318-371-9966
Provider Business Practice Location Address
First Line : 906 HOMER RD
Second Line :
City : MINDEN
State : LA
Zip : 71055-3024
Country : US
Telephone Number : 318-371-6666
Fax Number : 318-371-9966
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2016
Last Update Date : 06/14/2016

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Directions to “ MR. HODSON BROWN DPT” Practice Location

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