Individual
JIM HOGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
934 GRAFTON ST, #3, WORCESTER, MA 01604-2008
(508) 340-6530
Mailing address
934 GRAFTON ST, #3, WORCESTER, MA 01604-2008
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
17066
MA
225100000X
Physical Therapist
20949
FL
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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