| Doctor Name: | MISS MARY CANDACE HODGE |
| NPI Number: | 1871597260 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.T. |
| License Number: | 1065225 |
| Business Practice Address: | 2308 Ridge Rd Ste C Rockwall, TX - 750875154 |
| Business Phone Number: | 9727723767 |
| Business Fax Number: | 9727221868 |
| Mailing Address: | 2308 Ridge Rd, Ste C ROCKWALL |
| State: | TX |
| Postal Code: | 750875154 |
| Phone Number: | 9727723767 |
| Fax Number: | 9727221868 |
| NPI Enumeration Date: | 06/13/2005 |
| NPI Last Update Date: | 07/24/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | 03/16/2006 |
| NPI Reactivation Date: | 03/22/2006 |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 1065225 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |