Individual
MATTHEW JOHN HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7223 COMMERCE ST STE 40, SPRINGFIELD, VA 22150-3411
(703) 935-1999
Mailing address
350 NEW FIDELITY CT, GARNER, NC 27529-2665
(919) 258-2714
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305213214
VA
Other
Enumeration date
10/04/2019
Last updated
10/04/2019
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