MRS. Kelly L Hogen, PTA

NPI #1437327392 in Osceola, Wisconsin

Provider Information

NPI Number: 1437327392
Entity Type: Individual
Name: MRS. Kelly L Hogen, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Feb 13, 2008
Last Updated: Mar 14, 2011

Practice Location

Address: 2600 65TH AVENUE
City: Osceola
State: Wisconsin
ZIP Code: 54020-4370
Phone: (715) 294-2111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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