IndividualActive
Alicia Vincent, OTR/L
NPI 1740922319 · Pediatric Occupational Therapist · Bardstown, KY
Provider details
- NPI number
- 1740922319
- Entity type
- Individual
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- No
- License
- 276760 (KY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
115 S Salem Dr
Bardstown, KY 40004-1762
Phone: (502) 331-5478
Approximate (ZIP-level) locationGet directions
Mailing address
3103 Rockaway Dr
Louisville, KY 40216-1935
Registry dates
- Enumerated
- 2022-04-12
- Last updated
- 2025-05-08
- Certified
- 2025-05-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.