Jesse Hogan, PTA Valid NPI
Individual provider · Physical Therapy Assistant · Pasadena, MD
- NPI
- 1154774388
- Type
- Individual (Type 1)
- Primary specialty
- Physical Therapy Assistant
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 225200000X
- License number
- A4496 (MD)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2016-07-23
- Last updated
- 2016-07-23
Practice location
8109 Ritchie Hwy, Suite 601a
Pasadena, MD 21122-6917
(410) 533-3515