Provider Demographics
NPI:1265323190
Name:HODGES DINGLE, LADONNA CHERI (PT)
Entity type:Individual
Prefix:MRS
First Name:LADONNA
Middle Name:CHERI
Last Name:HODGES DINGLE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:LADONNA
Other - Middle Name:CHERI
Other - Last Name:HODGES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:1209 ELLINGWOOD DR
Mailing Address - Street 2:
Mailing Address - City:ACCOKEEK
Mailing Address - State:MD
Mailing Address - Zip Code:20607-9488
Mailing Address - Country:US
Mailing Address - Phone:301-717-9833
Mailing Address - Fax:
Practice Address - Street 1:7503 SURRATTS RD RM 1103
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:MD
Practice Address - Zip Code:20735-3358
Practice Address - Country:US
Practice Address - Phone:301-877-4563
Practice Address - Fax:301-877-9025
Is Sole Proprietor?:No
Enumeration Date:2025-07-10
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD20462225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist