Individual
KATHRYN MARIE VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT
Contact information
Practice address
1577 S IVY ST, CANBY, OR 97013-4334
(503) 266-9810
Mailing address
15808 SW WILLOW DR, SHERWOOD, OR 97140-8683
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
408457
OR
Other
Enumeration date
11/07/2018
Last updated
11/07/2018
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