Michelle Hogan

NPI #1477602977 in Jefferson, Wisconsin

Provider Information

NPI Number: 1477602977
Entity Type: Individual
Name: Michelle Hogan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Enumeration Date: Jan 10, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1130 COLLINS RD
City: Jefferson
State: Wisconsin
ZIP Code: 53549-2939
Phone: (920) 674-6075

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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