Individual
CATHERINE J VINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
867 MCGUIRE AVE, PADUCAH, KY 42001-4036
(270) 442-6168
Mailing address
3575 DUTCHMAN LAKE RD, VIENNA, IL 62995-2112
(618) 658-2105
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
KY-A1739
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12501490
—
KY
Enumeration date
06/29/2007
Last updated
07/08/2007
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