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Individual

AMY VOGEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSOTRL

Contact information

Practice address
2795 PILOT KNOB RD STE 100, EAGAN, MN 55121-1930
(651) 994-9644
(651) 994-8962
Mailing address
2795 PILOT KNOB RD STE 100, EAGAN, MN 55121-1930
(651) 994-9644
(651) 994-8962

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
102959
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
014978100
MN
01
6404756
MEDICA
MN
01
962S5VO
BCBS
MN
01
HP45798
HEALTH PARTNERS
MN
Enumeration date
02/16/2007
Last updated
11/25/2015
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