Individual
MS. PAMELA H HOGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOTR
Contact information
Practice address
1710 ALABAMA AVE, JASPER, AL 35501-5400
(205) 387-0555
Mailing address
2823 GREYSTONE COMMERCIAL BLVD, HOOVER, AL 35242-2660
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
225X00000X
Occupational Therapist
Primary
3997
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3997
LICENSE
AL
Enumeration date
08/26/2013
Last updated
03/03/2023
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