Provider Demographics
NPI:1306056577
Name:HODGDON, FRANCIS MARY (PT)
Entity type:Individual
Prefix:
First Name:FRANCIS
Middle Name:MARY
Last Name:HODGDON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1313 STILLWOOD CHASE NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30306-2500
Mailing Address - Country:US
Mailing Address - Phone:404-875-7221
Mailing Address - Fax:
Practice Address - Street 1:1669 PHOENIX PKWY
Practice Address - Street 2:SUITE 102
Practice Address - City:COLLEGE PARK
Practice Address - State:GA
Practice Address - Zip Code:30349-5464
Practice Address - Country:US
Practice Address - Phone:770-907-1023
Practice Address - Fax:770-907-5608
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT000425225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist