Individual
CALLIE R. HOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7700 FRANCE AVE S STE 240, EDINA, MN 55435-5878
(763) 201-8191
Mailing address
9645 GROVE CIR N STE 200, MAPLE GROVE, MN 55369-2684
(763) 201-8191
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11588
MN
Other
Enumeration date
08/19/2019
Last updated
05/13/2021
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