Individual
MRS. ELIZABETH ANN HOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
81 BEAVER SPUR APT 18, MORICHES, NY 11955-1215
(631) 335-4340
Mailing address
PO BOX 1023, MANORVILLE, NY 11949-0016
(631) 335-4340
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
015366
NY
Other
Enumeration date
11/04/2008
Last updated
08/29/2014
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