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Individual

KRISTINA LORRAINE FENSKE-VINCENT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
418 RAILROAD ST STE 102, DANVILLE, PA 17821-1547
(570) 360-8646
Mailing address
111 PETERSON AVE, SOUTH PASADENA, CA 91030-4032
(570) 798-3490

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OC018225
PA

Other

Enumeration date
12/20/2021
Last updated
12/20/2021
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