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Individual

JANET W VINCENT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTRL

Contact information

Practice address
3737 ROSCOMMON N, MARTINEZ, GA 30907-4741
(706) 860-9996
(706) 868-7497
Mailing address
3737 ROSCOMMON N, MARTINEZ, GA 30907-4741
(706) 860-9996
(706) 868-7497

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT001132
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10040545
AMERIGROUP
GA
01
308521
WELLCARE
GA
Enumeration date
12/20/2006
Last updated
07/09/2007
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