Individual
JENELLE ST VINCENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
4830 CHESTNUT ST, BELLAIRE, TX 77401-4033
(713) 839-8255
Mailing address
6838 EDGEMOOR DR, HOUSTON, TX 77074-4946
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
112897
TX
Other
Enumeration date
04/16/2011
Last updated
04/16/2011
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