Individual
SUE TEVIS VOGL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
414 S UNIVERSITY RD, SPOKANE VALLEY, WA 99206-5555
(509) 924-4650
(509) 228-0851
Mailing address
17494 N RIGHT FORK RD, HAUSER, ID 83854-5582
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0C0000250
WA
Other
Enumeration date
07/02/2007
Last updated
07/08/2007
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