Individual
DR. KATHLEEN MARIE VIGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
5576 W SAMPLE RD, MARGATE, FL 33073-3423
(954) 974-2977
(954) 974-2021
Mailing address
7702 SW 8TH ST, NORTH LAUDERDALE, FL 33068-2225
(954) 295-5067
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT24116
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT24116
PT LICENSE
FL
Enumeration date
07/02/2008
Last updated
07/02/2008
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