Individual
JOHANNA VOGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2881 CROOKED PINE CT SW, GRANDVILLE, MI 49418-9707
(989) 400-1441
Mailing address
2881 CROOKED PINE CT SW, GRANDVILLE, MI 49418-9707
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
47999
CA
225200000X
Physical Therapy Assistant
Primary
5502000662
MI
Other
Enumeration date
06/14/2016
Last updated
06/14/2016
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