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Vicky Vivoda, COTA/L

NPI 1962148700 · on the registry since 2022

Practice

Address
2622 Ridgewood Ln
Pueblo, CO 81005
Phone
(720) 505-1865

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-05-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado