Provider Demographics
NPI:1881363042
Name:HOGENSON, DELANEY (PT, DPT)
Entity type:Individual
Prefix:
First Name:DELANEY
Middle Name:
Last Name:HOGENSON
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1314 10TH ST N
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58102-2502
Mailing Address - Country:US
Mailing Address - Phone:701-205-7864
Mailing Address - Fax:
Practice Address - Street 1:4575 23RD AVE S STE 500
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58104-8784
Practice Address - Country:US
Practice Address - Phone:701-347-1782
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-10
Last Update Date:2024-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist