Individual
SAMANTHA LYNN VOGT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTL/R
Contact information
Practice address
194 GRAY HAWK DR, SHELBYVILLE, KY 40065-7349
(502) 544-5378
Mailing address
194 GRAY HAWK DR, SHELBYVILLE, KY 40065-7349
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
172305
KY
225XP0200X
Pediatric Occupational Therapist
172305
KY
Other
Enumeration date
01/15/2018
Last updated
01/15/2018
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