Individual
JULIE VINCENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3-14 VIRGINIA DR APT B, FAIR LAWN, NJ 07410-4727
(732) 887-6226
Mailing address
3-14 VIRGINIA DR APT B, FAIR LAWN, NJ 07410-4727
(732) 887-6226
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00754800
NJ
Other
Enumeration date
01/23/2020
Last updated
01/23/2020
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