Individual
ANGELA VINCENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
12219 GRIMSLEY DR, AUSTIN, TX 78759-3156
(512) 771-0790
Mailing address
12219 GRIMSLEY DR, AUSTIN, TX 78759-3156
(512) 771-0790
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT 2174
TX
Other
Enumeration date
07/17/2014
Last updated
07/17/2014
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