Individual
MISS LAUREN ELEANOR VINCENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
3715 W 133RD ST, LEAWOOD, KS 66209-3347
(913) 515-3531
Mailing address
8833 N CONGRESS AVE, APT. 823, KANSAS CITY, MO 64153-1890
(816) 916-9622
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2013030599
MO
Other
Enumeration date
04/20/2015
Last updated
04/20/2015
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