BRENTLY SHANE HOGAN

MONROE, LA
NPI1740201870
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: LA  06610)
Enumeration Date2006-07-22
Last Update Date2007-07-08
Business Address
-- BRENTLY SHANE HOGAN PT, DPT
1123 FORSYTHE AVE
MONROE, LA 71201-4307
Phone number: 318-322-9980
Mailing Address
-- BRENTLY SHANE HOGAN PT, DPT
1123 FORSYTHE AVE
MONROE, LA 71201-4307
Phone number: 318-322-9980
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