MS. TARA HODGE, MED, ATC

Specialist

Active Individual
NPI: 1881006179

Practice Address

1475 GRAND AVE.
San Rafael, CA 94901

Phone: (415) 482-1807

Specialties

Specialty Code Primary License
Specialist 174400000X Yes -

Frequently Asked Questions

NPI 1881006179 is the National Provider Identifier for MS. TARA HODGE, MED, ATC, a Specialist provider located in San Rafael, CA. This NPI was enumerated on May 21, 2014.
MS. TARA HODGE, MED, ATC practices at 1475 GRAND AVE., San Rafael, CA 94901.

Quick Facts

NPI
1881006179
Type
Individual
Enumerated
May 21, 2014
Last Updated
May 21, 2014

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