National Provider Identifier
Autumn Hogan
Autumn Hogan is listed in the NPPES registry with a primary specialty of Occupational Therapist in Fairport, NY and a listed phone number of (585) 223-3633.
Profile Overview
- NPI
- 1063232288
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- October 14, 2024
- Last Updated
- October 14, 2024
Practice Location
- 6745 Pittsford Palmyra RD
- Fairport, NY 14450-3343
Phone: (585) 223-3633
Mailing Address
- 155 Canal Landing Blvd Apt 733
- Rochester, NY 14626-5118
Specialties
- Occupational Therapist (225X00000X)
Full Record
- NPI
- 1063232288
- Entity Type
- Individual
- Last Name
- Hogan
- First Name
- Autumn
- Mailing Street Address
- 155 Canal Landing Blvd Apt 733
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14626-5118
- Mailing Country
- US
- Practice Street Address
- 6745 Pittsford Palmyra RD
- Practice City
- Fairport
- Practice State
- NY
- Practice ZIP Code
- 14450-3343
- Practice Country
- US
- Practice Phone
- (585) 223-3633
- Enumeration Date
- October 14, 2024
- Last Updated
- October 14, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- October 13, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapist (225X00000X)