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Individual

KRISTIN MICHELLE VINCI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
600 BROADWAY STE 530, SEATTLE, WA 98122
(206) 386-2013
(206) 386-2149
Mailing address
2567 9TH AVE W, SEATTLE, WA 98119-2264

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
022815
MA
225100000X
Physical Therapist
Primary
PT60799002
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1669985677
WA
Enumeration date
11/13/2017
Last updated
06/29/2018
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