Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 010064 | OH |
NPI | 1013683176 |
---|---|
Provider Name | Ashley Nicole Vogelpohl |
First Address | Cincinnati, OH 45208-1707 |
Second Address | Harrison, OH 45030-1929 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2021 |
Last Update Date | 19/08/2021 |