Individual
MISS LAURA ANNE HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-2450
Mailing address
12 UNION ST APT 1, WATERBURY, VT 05676-1309
(206) 919-9456
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0400003706
VT
Other
Enumeration date
11/13/2006
Last updated
07/08/2007
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