Individual
BETH HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.PED
Contact information
Practice address
290 E POMFRET ST, CARLISLE, PA 17013-2579
(717) 245-0400
Mailing address
290 E POMFRET ST, CARLISLE, PA 17013-2579
(717) 245-0400
Taxonomy
Speciality
Code
Description
License number
State
224L00000X
Pedorthist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PD000145
PEDORTHIST
PA
Enumeration date
01/15/2020
Last updated
01/15/2020
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