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Individual

MS. KATHLEEN M. VIGELAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., T.V.I, IT DS

Contact information

Practice address
3637 FOURTH ST N, ST PETERSBURG, FL 33704-1337
(941) 545-2323
Mailing address
P.O. BOX 136, BRADENTON, FL 34206-0136
(941) 545-2323

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
FL
2255R0406X
Blind Rehabilitation Specialist/Technologist
FL

Other

Enumeration date
03/12/2010
Last updated
03/12/2010
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