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Contact Information

KELLY J HODGE
2760 DORA AVE
TAVARES, FL32778
 Phone: 352-742-7837
 Fax: 352-508-5113
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for KELLY J HODGE · (Female)

NPI Number 1134496110
Status Active
Credentials
Entity Individual
Enumeration date 11/19/2011
Last updated 11/19/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • FL License # OTA12026
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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