Individual
NATHAN VIGIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, ATC
Contact information
Practice address
4400 LEAD AVE SE, ALBUQUERQUE, NM 87108
(505) 266-3655
Mailing address
4400 LEAD AVE SE, ALBUQUERQUE, NM 87108
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4916
NM
Other
Enumeration date
09/14/2016
Last updated
09/14/2016
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