Individual
MISS BRITTANY VIGRASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.O.T.
Contact information
Practice address
1946 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952-5510
(772) 209-2353
Mailing address
997 SW LIBERTY AVE, PORT SAINT LUCIE, FL 34953-3658
(772) 209-2353
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT15679
FL
Other
Enumeration date
03/13/2013
Last updated
03/13/2013
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