Individual
GARRETT JACK HOGGARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1485 NE 7TH ST, GRANTS PASS, OR 97526
(541) 479-6936
Mailing address
1485 NE 7TH ST, GRANTS PASS, OR 97526-1303
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
09313
OR
Other
Enumeration date
07/25/2017
Last updated
07/25/2017
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