Individual
COURTNEY NOEL HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
13550 S OUTER 40 RD, CHESTERFIELD, MO 63017-5812
(314) 878-1330
Mailing address
69 SEVEN ESTATES DR, WINFIELD, MO 63389-2508
(314) 719-7980
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
2016031420
MO
Other
Enumeration date
11/27/2016
Last updated
11/27/2016
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