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NPI Code Detail

MEDICARE: MS. PATRICIA VINTON OTR

MEDICARE:  MS. PATRICIA  VINTON  OTR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist112335TX

General Provider Information

NPI Number : 1700160140
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. PATRICIA VINTON OTR
Provider Business Mailing Address
First Line : 7402 CHENAL PT
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78240-3074
Country : US
Telephone Number : 210-710-4604
Fax Number :
Provider Business Practice Location Address
First Line : 7402 CHENAL PT
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78240-3074
Country : US
Telephone Number : 210-710-4604
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2011
Last Update Date : 10/04/2011

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Directions to “ MS. PATRICIA VINTON OTR” Practice Location

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