Individual
LAURA A HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2501 RAMSHORN DR, MANASQUAN, NJ 08736-2133
(732) 528-9311
Mailing address
2222 SULLIVAN TRL, EASTON, PA 18040-7958
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00280800
NJ
Other
Enumeration date
06/18/2007
Last updated
07/08/2007
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