Kristina Lorraine Fenske-vincent, OTR - Occupational Therapist in South Pasadena, CA

Kristina Lorraine Fenske-vincent, OTR is a Occupational Therapist - Pediatrics based in South Pasadena, California. Kristina Lorraine Fenske-vincent is licensed to practice in Pennsylvania (license number OC018225) and her current practice location is 111 Peterson Ave, South Pasadena, California. She can be reached at her office (for appointments etc.) via phone at (570) 798-3490.

NPI number for Kristina Lorraine Fenske-vincent is 1063172997 and her current mailing address is 111 Peterson Ave, South Pasadena, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063172997.

Contact Information

Kristina Lorraine Fenske-vincent, OTR
111 Peterson Ave,
South Pasadena, CA 91030-4032
(570) 798-3490
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKristina Lorraine Fenske-vincent
GenderFemale
SpecialityOccupational Therapist - Pediatrics
Location111 Peterson Ave, South Pasadena, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1063172997
  • Provider Enumeration Date: 12/20/2021
  • Last Update Date: 06/03/2026

Medical Identifiers

Medical identifiers for Kristina Lorraine Fenske-vincent such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063172997NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225XP0200XOccupational Therapist - Pediatrics OC018225 (Pennsylvania)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kristina Lorraine Fenske-vincent is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kristina Lorraine Fenske-vincent, OTR
111 Peterson Ave,
South Pasadena, CA 91030-4032

Ph: (570) 798-3490
Kristina Lorraine Fenske-vincent, OTR
111 Peterson Ave,
South Pasadena, CA 91030-4032

Ph: (570) 798-3490

Reviews and Comments


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