Mary A Hogan

NPI #1376602136 in Hailey, Idaho

Provider Information

NPI Number
1376602136
Entity Type
Individual
Name
Mary A Hogan
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Enumeration Date
Dec 7, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
21 E MAPLE ST
Address 2
SUITE D
City
Hailey
State
Idaho
ZIP Code
83333-8401
Phone
(208) 481-0275

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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