Individual
CHRISTINE VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1301 E BIDWELL ST STE 201, FOLSOM, CA 95630-3565
(916) 983-5915
Mailing address
1301 E BIDWELL ST STE 201, FOLSOM, CA 95630-3565
(916) 983-5915
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23091
LICENSE
CA
Enumeration date
12/08/2021
Last updated
03/14/2022
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