Individual
NIAMH MARIE HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
8933 ACTIVITY RD, SAN DIEGO, CA 92126-4492
(858) 653-6085
Mailing address
12615 ELISA LN UNIT 164, SAN DIEGO, CA 92128-5626
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
19264
CA
Other
Enumeration date
10/31/2018
Last updated
01/14/2026
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