Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | ||
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation |
NPI | 1023268075 |
---|---|
Provider Name | Ms. Gloria Jean Viglione |
First Address | Denver, CO 80203-3853 |
Second Address | Englewood, CO 80113-2736 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2008 |
Last Update Date | 26/09/2008 |