Provider Demographics
NPI:1225507379
Name:VOGELEY, MARJORIE (MGA, OTR/L)
Entity Type:Individual
Prefix:
First Name:MARJORIE
Middle Name:
Last Name:VOGELEY
Suffix:
Gender:F
Credentials:MGA, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 NALLEY TER
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20785-4434
Mailing Address - Country:US
Mailing Address - Phone:240-696-3218
Mailing Address - Fax:301-567-8652
Practice Address - Street 1:4545 AMMENDALE RD
Practice Address - Street 2:
Practice Address - City:BELTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20705-1113
Practice Address - Country:US
Practice Address - Phone:301-572-0650
Practice Address - Fax:301-572-0668
Is Sole Proprietor?:No
Enumeration Date:2018-11-19
Last Update Date:2018-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD02019225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist