Individual
MR. WILLIAM L HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., P.T.
Contact information
Practice address
235LAKEMONT RD, NEWPORT, VT 05855-9690
(802) 334-8558
(802) 334-8559
Mailing address
235LAKEMONT RD, NEWPORT, VT 05855-9590
(802) 334-8558
(802) 334-8559
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0400003435
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009056
—
VT
05
—
109055
—
VT
01
—
59062
BCBS
VT
Enumeration date
07/12/2006
Last updated
11/16/2011
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