Provider Demographics
NPI:1487829776
Name:VOGEL THERAPY SERVICES LLC
Entity Type:Organization
Organization Name:VOGEL THERAPY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:L
Authorized Official - Last Name:VOGEL
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:920-682-2211
Mailing Address - Street 1:4219 VIEBAHN ST
Mailing Address - Street 2:
Mailing Address - City:MANITOWOC
Mailing Address - State:WI
Mailing Address - Zip Code:54220-9348
Mailing Address - Country:US
Mailing Address - Phone:920-682-2211
Mailing Address - Fax:920-686-9207
Practice Address - Street 1:933 ERIE AVE
Practice Address - Street 2:SUITE #6
Practice Address - City:SHEBOYGAN
Practice Address - State:WI
Practice Address - Zip Code:53081-3300
Practice Address - Country:US
Practice Address - Phone:920-457-6750
Practice Address - Fax:920-457-8350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-28
Last Update Date:2008-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4249-026225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty