Individual
STEPHANIE ANNE VOGDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
430 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-5373
(920) 926-8995
Mailing address
430 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-5373
(920) 926-8995
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
3777
WI
225X00000X
Occupational Therapist
Primary
3777-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40874000
—
WI
Enumeration date
03/26/2007
Last updated
11/21/2011
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