Individual
GERALD CHRISTOPHER VICKERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1336 M 1/2 RD, LOMA, CO 81524-9728
(970) 858-1025
Mailing address
1336 M 1/2 RD, LOMA, CO 81524-9728
(970) 858-1025
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2974
CO
Other
Enumeration date
01/03/2010
Last updated
01/03/2010
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