| Doctor Name: | LAURIE L VIGEN |
| NPI Number: | 1750607172 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.P.T. |
| License Number: | 36331 |
| Business Practice Address: | 129 W. Wilson St. Suite 202 Costa Mesa, CA - 92627 |
| Business Phone Number: | 9496310125 |
| Business Fax Number: | 9496310127 |
| Mailing Address: | 129 W. Wilson St., Suite 202 COSTA MESA |
| State: | CA |
| Postal Code: | 92627 |
| Phone Number: | 9496310125 |
| Fax Number: | 9496310127 |
| NPI Enumeration Date: | 04/09/2010 |
| NPI Last Update Date: | 09/26/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 36331 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |