Provider Demographics
NPI:1427538503
Name:HOGE, ROBIN DIANNE LOUDEN (DPT)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:DIANNE LOUDEN
Last Name:HOGE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:ROBIN
Other - Middle Name:DIANNE
Other - Last Name:LOUDEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1200 CORPORATE DR STE 400
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-5424
Mailing Address - Country:US
Mailing Address - Phone:423-238-7217
Mailing Address - Fax:423-238-3473
Practice Address - Street 1:1480 E 3RD ST
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37404-2434
Practice Address - Country:US
Practice Address - Phone:423-622-2459
Practice Address - Fax:423-622-4879
Is Sole Proprietor?:No
Enumeration Date:2018-08-17
Last Update Date:2021-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN11937225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist