Joan Luna Vicente, PT

NPI #1003005414 in Milwaukie, Oregon

Provider Information

NPI Number
1003005414
Entity Type
Individual
Name
Joan Luna Vicente, PT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
PT
Enumeration Date
Oct 22, 2007
Last Updated
Oct 22, 2007

Practice Location

Address
4560 SE INTERNATIONAL WAY
Address 2
CONSONUS HEALTHCARE SERVICES SUITE 100
State
Oregon
ZIP Code
97222
Phone
(971) 206-5149

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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