Individual
CYNTHIA GAYLE HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
106 DIECKS DR, ELIZABETHTOWN, KY 42701-2443
(270) 769-0058
(270) 737-1659
Mailing address
2055 RABBIT FLAT RD, CANEYVILLE, KY 42721-7700
(270) 879-8391
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A02903
KY
Other
Enumeration date
02/17/2013
Last updated
02/17/2013
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