Individual
BEN VIGILIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
810 E 30TH AVE, HUTCHINSON, KS 67502-4340
(620) 254-4307
Mailing address
903 E 31ST AVE APT A28, HUTCHINSON, KS 67502-4279
(316) 500-0300
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-03926
KS
Other
Enumeration date
04/11/2022
Last updated
04/13/2022
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