Individual
JESSICA E VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
235 LESTERTOWN RD, GROTON, CT 06340-2808
(860) 445-7478
Mailing address
235 LESTERTOWN RD, GROTON, CT 06340-2808
(860) 445-7478
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
004663
CT
Other
Enumeration date
01/12/2018
Last updated
01/12/2018
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