Individual
SHULAMIS N VOGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3 JENNY LN, JACKSON, NJ 08527-5028
(917) 435-1359
Mailing address
3 JENNY LN, JACKSON, NJ 08527-5028
(917) 435-1359
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
46TR00679000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46TR00679000
OCCUPATIONAL THERAPY ADVISORY COUNCIL
NJ
Enumeration date
11/21/2022
Last updated
11/21/2022
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