Individual
TAMMY VIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
616 ATLANTIC AVE, MORRIS, MN 56267-1380
(320) 585-5395
(320) 839-4196
Mailing address
820 ROY ST, ORTONVILLE, MN 56278-1138
(320) 839-4271
(320) 839-4196
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0547
SD
225X00000X
Occupational Therapist
Primary
102913
MN
Other
Enumeration date
06/26/2006
Last updated
03/25/2010
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