Individual
ANN M VINZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR, CHT
Contact information
Practice address
324 ROXBURY RD, ROCKFORD, IL 61107-5090
(815) 398-9491
(815) 381-7498
Mailing address
PO BOX 735263, CHICAGO, IL 60673-5263
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056012515
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780735480
—
WI
01
—
JORDANN
MERCYCARE INSURANCE
WI
Enumeration date
01/16/2007
Last updated
08/09/2023
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