Mr. Mario Donald Hodge, CPED - Mount Vernon, IL

Mr. Mario Donald Hodge, CPED

Pedorthist in Mount Vernon, Illinois

NPI 1023369501

Mario Donald Hodge is a Pedorthist based in Mount Vernon, IL. Mario Donald Hodge practices in Mount Vernon, IL and has the professional credentials of CPED. The NPI Number for Mario Donald Hodge is 1023369501 and holds a License No. 212.000161 (Illinois).

The current practice location address for Mario Donald Hodge is 1024 Jordan St, Mount Vernon, IL and can be reached out via phone at 618-242-4442 and via fax at 618-242-3942.

Location: 1024 Jordan St, Mount Vernon, IL, 62864-4231

NPI Number

1023369501

Provider Name

Mario Donald Hodge

Credential

CPED

Provider Entity Type

Individual

Gender

Male

Address

1024 Jordan St, Mount Vernon, IL, 62864-4231

Phone Number

618-242-4442

Fax Number

618-242-3942

Provider Enumeration Date

09/25/2012

Last Update Date

03/09/2024

Address

1024 Jordan St

City

Mount Vernon

State

Illinois

Zip

62864-4231

Phone Number

618-242-4442

Fax Number

618-242-3942

Address

1024 Jordan St

City

Mount Vernon

State

Illinois

Zip

62864-4231

Phone Number

618-242-4442

Fax Number

618-242-3942

Type

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Classification

Pedorthist

Speciality

Taxonomy

224L00000X

License No.

212.000161 (Illinois)

Definition

An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices.

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