VICKY LYNN VIVODA

PUEBLO, CO
NPI1962148700
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: CO  0001495)
Enumeration Date2022-05-05
Last Update Date2022-05-05
Business Address
VICKY LYNN VIVODA COTA/L
2622 RIDGEWOOD LN
PUEBLO, CO 81005-3360
Phone number: 720-505-1865
Mailing Address
VICKY LYNN VIVODA COTA/L
2622 RIDGEWOOD LN
PUEBLO, CO 81005-3360
Phone number: 720-505-1865
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