Individual
LESLIE FAYE VOGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
4800 SAND POINT WAY NE, W6804, SEATTLE, WA 98105-3901
(206) 987-3128
(206) 987-2409
Mailing address
9021 35TH AVE NE, SEATTLE, WA 98115-3614
(206) 526-0542
(206) 526-0542
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT00005515
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7057870
—
WA
01
—
VO5811
REGENCE PRACTIONER NUMBER
WA
Enumeration date
06/22/2007
Last updated
07/08/2007
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