Individual
MRS. TRICIA JANE VIGIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
5 THAMES CT, PUEBLO, CO 81005-3521
(719) 542-2357
Mailing address
5 THAMES CT, PUEBLO, CO 81005-3521
(719) 542-2357
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
676
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89488326
—
CO
Enumeration date
06/24/2009
Last updated
04/01/2016
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