Provider Demographics
NPI:1932451077
Name:VOGT, RACHEL L (OTR/L)
Entity Type:Individual
Prefix:MISS
First Name:RACHEL
Middle Name:L
Last Name:VOGT
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 SPRING ST
Mailing Address - Street 2:
Mailing Address - City:ROYERSFORD
Mailing Address - State:PA
Mailing Address - Zip Code:19468-2534
Mailing Address - Country:US
Mailing Address - Phone:484-941-1222
Mailing Address - Fax:
Practice Address - Street 1:3000 BALFOUR CIR
Practice Address - Street 2:
Practice Address - City:PHOENIXVILLE
Practice Address - State:PA
Practice Address - Zip Code:19460-2144
Practice Address - Country:US
Practice Address - Phone:610-933-7675
Practice Address - Fax:610-933-7622
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-14
Last Update Date:2012-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC010285225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist