Provider Demographics
NPI:1902448541
Name:HODGKINS, CALEIGH ASHTON (MOT, OTR/L)
Entity type:Individual
Prefix:
First Name:CALEIGH
Middle Name:ASHTON
Last Name:HODGKINS
Suffix:
Gender:F
Credentials:MOT, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:161 MANRESA RD
Mailing Address - Street 2:
Mailing Address - City:SAINT AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32084-2934
Mailing Address - Country:US
Mailing Address - Phone:904-814-7320
Mailing Address - Fax:
Practice Address - Street 1:161 MANRESA RD
Practice Address - Street 2:
Practice Address - City:SAINT AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32084-2934
Practice Address - Country:US
Practice Address - Phone:904-814-7320
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-15
Last Update Date:2019-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT17098225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation