Individual
GLORIA S VIGNEAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
715 HIBISCUS LN, VERO BEACH, FL 32963-2034
(772) 234-8879
Mailing address
715 HIBISCUS LN, VERO BEACH, FL 32963-2034
(772) 234-8879
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 2717
FL
Other
Enumeration date
09/23/2009
Last updated
09/23/2009
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