Individual
HOLLY RENEE HOGANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1201 N HOBART ST, SPACE 2JS, PAMPA, TX 79065-4641
(806) 665-4820
(806) 665-4123
Mailing address
2617 CHEROKEE DR, PAMPA, TX 79065-3105
(806) 665-4820
(806) 665-4123
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2042018
TX
Other
Enumeration date
06/06/2007
Last updated
07/08/2007
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