Provider Demographics
NPI:1194419671
Name:VINH, ANA
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:
Last Name:VINH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 FOREST HILL DR
Mailing Address - Street 2:
Mailing Address - City:RUTLAND
Mailing Address - State:MA
Mailing Address - Zip Code:01543-1508
Mailing Address - Country:US
Mailing Address - Phone:774-364-2100
Mailing Address - Fax:
Practice Address - Street 1:26 FOREST HILL DR
Practice Address - Street 2:
Practice Address - City:RUTLAND
Practice Address - State:MA
Practice Address - Zip Code:01543-1508
Practice Address - Country:US
Practice Address - Phone:774-364-2100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-07
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist