Individual
MR. DAVID CARLOS VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1810 MINNESOTA BLVD, SAINT CLOUD, MN 56304-2436
(320) 229-8300
Mailing address
1710 13TH AVE SE, SAINT CLOUD, MN 56304-2228
(320) 241-9481
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5466
MN
Other
Enumeration date
02/03/2010
Last updated
02/03/2010
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