Individual
AMIE C HOAGLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
4214 SHERIDAN RD, RACINE, WI 53403-4142
(262) 554-6515
(262) 554-6892
Mailing address
N72W16078 GOOD HOPE RD, MENOMONEE FALLS, WI 53051-4552
(262) 502-1844
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9743-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40359200
—
WI
Enumeration date
12/29/2005
Last updated
07/08/2007
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