Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | 9350 | TN |
NPI | 1013554021 |
---|---|
Provider Name | Karina Hogue |
First Address | Hendersonville, TN 37075-8940 |
Second Address | Hendersonville, TN 37075-8940 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/12/2019 |
Last Update Date | 09/12/2019 |