Individual
ANNA MARIE VINZANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DOT
Contact information
Practice address
4450 48TH AVENUE CT, ROCK ISLAND, IL 61201-9213
(309) 558-0145
Mailing address
4028 10TH ST, EAST MOLINE, IL 61244-4523
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056016325
IL
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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