| NPI | 1598088874 |
|---|---|
| Former Name | KELLY M HOGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070022819) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 032469) |
| 225100000X Physical Therapist (Licence: NJ 40QA01544400) | |
| Enumeration Date | 2010-03-01 |
| Last Update Date | 2023-05-26 |