Individual
DEBRA L VINCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
35 MARC DR, WALLINGFORD, CT 06492-5708
(203) 265-0982
Mailing address
35 MARC DR, WALLINGFORD, CT 06492-5708
(203) 265-0981
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0000028
CT
Other
Enumeration date
02/16/2010
Last updated
02/16/2010
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