Individual
PATRICIA MOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
135 HOYT ST, ATHENS, GA 30601-2646
(706) 549-0031
(706) 549-0032
Mailing address
135 HOYT ST, ATHENS, GA 30601-2646
(706) 549-0031
(706) 549-0032
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA000991
GA
Other
Enumeration date
01/11/2013
Last updated
01/11/2013
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