Individual
AMY VOGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOTRL
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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