Individual
AMY L. VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
PT02055
RI
225100000X
Physical Therapist
Primary
—
—
2251X0800X
Orthopedic Physical Therapist
PT02055
RI
Other
Enumeration date
08/08/2006
Last updated
06/29/2020
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