Individual
MADONNA MCGREGOR VINCENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
34600 BAINBRIDGE RD, NORTH RIDGEVILLE, OH 44039-4073
(440) 327-1992
Mailing address
29621 FOOTE RD, BAY VILLAGE, OH 44140-1216
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.05410
OH
Other
Enumeration date
03/17/2014
Last updated
03/17/2014
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