Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Vicky Lynn Vivoda, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1962148700

Vicky Lynn Vivoda, COTA/L is an Occupational Therapy Assistant in Pueblo, Colorado. Licensed in Colorado. Registered with an NPI since 2022.

Licensed in
CO
In the registry since
2022
What do these letters mean?
COTA/L — Certified Occupational Therapy Assistant, Licensed
An occupational therapy assistant who is both certified and state licensed.

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Practice location Address checks out

2622 Ridgewood Ln
Pueblo, CO 81005-3360
Phone: (720) 505-1865
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 0001495 (CO)

Record details

NPI number1962148700
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorNo
NPI enumeratedMay 5, 2022
Last updated in NPPESMay 5, 2022
Certification dateMay 5, 2022

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