Individual
DANIEL VIGUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
59 AVE D, PERRY POINT, MD 21902
(410) 642-2411
Mailing address
4097 LOMAR DR, MOUNT AIRY, MD 21771-4572
(410) 428-0910
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
80854
MD
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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