Individual
SHARLEEN VIGIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2737 WALSH AVE, SANTA CLARA, CA 95051-0965
(408) 228-8400
(408) 228-8401
Mailing address
3471 SURF CT, SAN JOSE, CA 95127-1153
(209) 892-3998
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT205
CA
225200000X
Physical Therapy Assistant
PT205
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT205
STATE LICENSE
CA
Enumeration date
04/17/2018
Last updated
04/17/2018
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