Individual
MRS. KERI HOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1786 INDIAN WELLS WAY, CLAYTON, CA 94517-1212
(330) 257-4311
Mailing address
1786 INDIAN WELLS WAY, CLAYTON, CA 94517-1212
(330) 257-4311
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10336
CA
Other
Enumeration date
12/22/2014
Last updated
12/22/2014
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