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Organization
VINCENT PHYSICAL THERAPY
Active
Organization
VINCENT PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHEL VINCENT PT, MOMT (OWNER)
(626) 798-5074
Entity
Organization
Contact information
Practice address
2615 E WASHINGTON BLVD, PASADENA, CA 91107-1412
(626) 798-5074
(626) 798-3210
Mailing address
2615 E WASHINGTON BLVD, PASADENA, CA 91107-1412
(626) 798-5074
(626) 798-3210
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11214
CA
Other
Enumeration date
04/23/2007
Last updated
04/04/2008
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