Individual
JEFFREY MICHAEL HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, MPT
Contact information
Practice address
14890 SE 29TH ST, CHOCTAW, OK 73020-3515
(405) 390-1731
(405) 390-1981
Mailing address
14890 SE 29TH ST, CHOCTAW, OK 73020-3515
(405) 390-1731
(405) 390-1981
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3849
OK
Other
Enumeration date
11/30/2005
Last updated
08/20/2020
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