Individual
COLLEEN JOY VIRGILIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2120 BENTON DR, CANYONWOOD NURSING & REHABILITATION CENTER, REDDING, CA 96002
(530) 243-6317
Mailing address
15322 FLYING B ROAD, OAK RUN, CA 96069
(530) 472-1159
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/13/2006
Last updated
07/08/2007
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