Individual
RYAN HOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4130 OLEANDER DR, WILMINGTON, NC 28403-6843
(910) 679-8385
Mailing address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2575
(203) 917-0122
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11977
NC
Other
Enumeration date
06/13/2019
Last updated
02/07/2024
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