IndividualActive
Audrey Hogan, PTA
NPI 1881070019 · Physical Therapy Assistant · Benbrook, TX
Provider details
- NPI number
- 1881070019
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- 2112802 (TX)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
6080 Southwest Blvd
Benbrook, TX 76109-3912
Phone: (817) 731-9331
Fax: (817) 731-9882
Approximate (ZIP-level) locationGet directions
Mailing address
6080 Southwest Blvd
Benbrook, TX 76109-3912
Registry dates
- Enumerated
- 2015-08-11
- Last updated
- 2015-08-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.