Individual
MYRIAM VINCENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
98 CUMMINGS ST, IRVINGTON, NJ 07111-2511
(973) 609-3041
Mailing address
98 CUMMINGS ST, IRVINGTON, NJ 07111-2511
(973) 609-3041
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
007519-1
NY
225XP0019X
Physical Rehabilitation Occupational Therapist
007519-1
NY
Other
Enumeration date
03/02/2010
Last updated
03/02/2010
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