Individual
PAULA MARIE VIGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 MAIN AVE S, PARK RAPIDS, MN 56470-1518
(218) 732-0868
(218) 732-8502
Mailing address
3835 SUPREME CT NW, STE 2, BEMIDJI, MN 56601-4485
(218) 732-0868
(218) 732-8502
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7616
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
683227000
—
MN
Enumeration date
08/27/2007
Last updated
10/26/2020
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