Individual
DENEEN HOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
52654 IRONWOOD RD, SOUTH BEND, IN 46635-1123
(574) 227-8710
Mailing address
1311 MOFFAT LN, ELKHART, IN 46517-2611
(574) 849-9171
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
99033320A
IN
Other
Enumeration date
08/12/2008
Last updated
08/12/2008
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