Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | PT008789 | GA |
Y | 2251N0400X | Physical Therapist - Neurology | 2305207237 | VA |
NPI | 1629179825 |
---|---|
Provider Name | Dr. Jeffrey Michael Hoder |
First Address | Mechanicsville, VA 23116-5195 |
Second Address | Richmond, VA 23230-1714 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2006 |
Last Update Date | 07/05/2012 |