Provider / Organization | NPI | Date Certified |
---|---|---|
JESSICA VINING | 1669043741 | 2021-07-12 |
Jessica Vining is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1669043741. Registration indicates Jessica Vining is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Developmental Therapist (Developmental Therapist, ) (Developmental Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers)
Entity Type | Individual |
Provider Name | Jessica Vining |
Practice Office Address | 321 FORTUNE BLVD MILFORD, MA US |
Practice Office Telephone | 5084780207 |
Mailing Address | 321 FORTUNE BLVD MILFORD, MA 017571750 US |
Code | Practice | License No State |
---|---|---|
222Q00000X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Developmental Therapist Developmental Therapist Developmental Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers |