Individual
PETER DANIEL HOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
200 GOVERNORS AVE, MEDFORD, MA 02155-1644
(781) 391-5400
Mailing address
8 RICHARDSON ST APT 5, WAKEFIELD, MA 01880-3341
(617) 965-2411
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8261
MA
Other
Enumeration date
07/27/2009
Last updated
07/27/2009
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