Individual
BIANCA VICENTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
101 MANNING DR, CHAPEL HILL, NC 27514
(984) 974-5300
Mailing address
101 MANNING DR, CHAPEL HILL, NC 27514-4220
(984) 974-5300
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11305
NC
Other
Enumeration date
10/11/2017
Last updated
10/04/2019
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