Individual
ALYSSA HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2900 10TH AVE S, GREAT FALLS, MT 59405-3243
(406) 453-0360
Mailing address
105 RIVERVIEW 6 W, GREAT FALLS, MT 59404-1446
(406) 750-4291
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTP-OT-LIC-4900
MT
Other
Enumeration date
04/10/2018
Last updated
04/10/2018
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