# HOGAN THERAPY ASSOCIATES INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669493797
- **Authorized official:** MR. BRENTLY SHANE HOGAN PT, DPT (PHYSICAL THERAPIST/ OWNER)
- **Authorized official phone:** (318) 322-9980

## Contact information

- **Practice address:** 1123 FORSYTHE AVE, MONROE, LA 71201-4307
- **Practice address phone:** (318) 322-9980
- **Practice address fax:** (318) 322-9946
- **Mailing address:** 1123 FORSYTHE AVE, MONROE, LA 71201-4307
- **Mailing address phone:** (318) 322-9980
- **Mailing address fax:** (318) 322-9946

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 06610 | LA | Yes |

## Other

- **Enumeration date:** 07/22/2006
- **Last updated:** 11/28/2007