Individual
MS. LAURA J VINCENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
36 SUNGROVE DR, MARYLAND HEIGHTS, MO 63043-1248
(314) 599-1705
Mailing address
36 SUNGROVE DR, MARYLAND HEIGHTS, MO 63043-1248
(314) 599-1705
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
116297
MO
Other
Enumeration date
12/17/2012
Last updated
12/17/2012
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