Provider Demographics
NPI:1306450879
Name:HOGGARTH, JENNIFER COBLE (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:COBLE
Last Name:HOGGARTH
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 1:10263 STRAWBERRY TETRA DR
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33578-5484
Mailing Address - Country:US
Mailing Address - Phone:941-223-8003
Mailing Address - Fax:
Practice Address - Street 1:3800 STATE ROAD 674
Practice Address - Street 2:
Practice Address - City:SUN CITY CENTER
Practice Address - State:FL
Practice Address - Zip Code:33573-6805
Practice Address - Country:US
Practice Address - Phone:813-633-9888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-02
Last Update Date:2020-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT36005225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist