Individual
KATHLEEN VINCENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4266 PHLOX PL, F11, FLUSHING, NY 11355-2139
(917) 662-0878
(718) 353-5815
Mailing address
4266 PHLOX PL, F11, FLUSHING, NY 11355-2139
(917) 662-0878
(718) 353-5815
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
017083-1
NY
Other
Enumeration date
07/09/2008
Last updated
07/09/2008
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