Individual
LAUREN HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, OCS, ATC
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070-017947
IL
225100000X
Physical Therapist
Primary
12087-24
WI
2251X0800X
Orthopedic Physical Therapist
12087-24
WI
Other
Enumeration date
08/02/2010
Last updated
03/30/2022
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