Individual
ALEXIS SAVANNA HOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1104 HENDERSON ST, SWEETWATER, TX 79556-6450
(325) 236-6821
Mailing address
1513 SUNSET ST, MERKEL, TX 79536-6011
(325) 721-4855
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
123179
UT
Other
Enumeration date
04/17/2024
Last updated
04/17/2024
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