Provider Demographics
NPI:1821256108
Name:TOKONITZ, VINCENT S (MS, OTR/L)
Entity Type:Individual
Prefix:
First Name:VINCENT
Middle Name:S
Last Name:TOKONITZ
Suffix:
Gender:M
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 ULYSSES ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15211-1545
Mailing Address - Country:US
Mailing Address - Phone:412-657-2694
Mailing Address - Fax:412-381-0333
Practice Address - Street 1:201 ULYSSES ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15211-1545
Practice Address - Country:US
Practice Address - Phone:412-657-2694
Practice Address - Fax:412-381-0333
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-23
Last Update Date:2008-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC010117225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist