Individual
KELSEY MARIE HOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15359 FOUNDERS LN, APPLE VALLEY, MN 55124-6136
(563) 210-7339
Mailing address
5141 198TH ST W, FARMINGTON, MN 55024-8415
(563) 210-7339
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0006807
CO
Other
Enumeration date
11/14/2021
Last updated
03/21/2025
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