Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 000578 | KY |
N | 225100000X | Physical Therapist | 05006786A | IN |
N | 2251H1200X | Hand | 9105000506 | IN |
N | 2251H1200X | Hand | 9105000506 | KY |
NPI | 1144219361 |
---|---|
Provider Name | Anne Dunnington Hodges |
First Address | Louisville, KY 40202-1846 |
Second Address | Louisville, KY 40202-1846 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/10/2005 |
Last Update Date | 06/07/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
990003795 | RAILROAD MEDICARE (01) | KY |