Individual
MRS. LISA MARIE VOGEL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1 JEFFERSON BARRACKS DR, SAINT LOUIS, MO 63125-4181
(314) 845-5043
(314) 845-5077
Mailing address
849 SHIPWATCH DR, IMPERIAL, MO 63052-2548
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02108
MO
Other
Enumeration date
05/10/2006
Last updated
07/08/2007
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