Individual
MRS. JESSICA IRENE BUZON VOGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
904 ISAAC STREETS DR, OREGON, OH 43616-3204
(419) 691-2483
Mailing address
102 RAISIN CIR, DUNDEE, MI 48131-9539
(734) 529-7861
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
5201006369
MI
225X00000X
Occupational Therapist
Primary
OT-5519
OH
Other
Enumeration date
06/27/2007
Last updated
07/08/2007
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