Individual
BRANDY DEE HOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
503 MCMILLAN RD, WEST MONROE, LA 71291-5327
(318) 329-4200
Mailing address
PO BOX 9191, MONROE, LA 71211-9191
(318) 381-0562
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.200253
LA
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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