Provider Demographics
NPI:1588907687
Name:HODREN, BELINDA M (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:BELINDA
Middle Name:M
Last Name:HODREN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MISS
Other - First Name:BELINDA
Other - Middle Name:M
Other - Last Name:MULLINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:374 ED HILL RD
Mailing Address - Street 2:
Mailing Address - City:FREEVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:13068-9794
Mailing Address - Country:US
Mailing Address - Phone:717-856-8955
Mailing Address - Fax:
Practice Address - Street 1:374 ED HILL RD
Practice Address - Street 2:
Practice Address - City:FREEVILLE
Practice Address - State:NY
Practice Address - Zip Code:13068-9794
Practice Address - Country:US
Practice Address - Phone:717-856-8955
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-27
Last Update Date:2013-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010593225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist