Individual
JESSICA VANWINKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
193 GLADES RD, BEREA, KY 40403-2261
(859) 986-1055
Mailing address
3450 W CENTRAL AVE, SUITE 230, TOLEDO, OH 43606-1416
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R5066
KY
Other
Enumeration date
07/20/2012
Last updated
07/20/2012
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