Individual
TIFFANY HOGGARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2741 N SALISBURY ST, WEST LAFAYETTE, IN 47906-1499
(765) 463-7546
Mailing address
4083 DRUZE AVE, LAFAYETTE, IN 47909-8260
(765) 490-7009
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06004140A
IN
Other
Enumeration date
05/26/2021
Last updated
05/26/2021
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