Jeffrey Michael Hogan, PT, MPT

NPI #1053395319 in Choctaw, Oklahoma

Provider Information

NPI Number: 1053395319
Entity Type: Individual
Name: Jeffrey Michael Hogan, PT, MPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, MPT
Enumeration Date: Nov 30, 2005
Last Updated: Aug 20, 2020

Practice Location

Address: 14890 SE 29TH ST
City: Choctaw
State: Oklahoma
ZIP Code: 73020-3515
Phone: (405) 390-1731

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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