Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kristina Lorraine Fenske-Vincent, OTR

Individual provider Pediatric Occupational Therapist · NPI 1063172997

Kristina Lorraine Fenske-Vincent, OTR is a Pediatric Occupational Therapist in South Pasadena, California. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2021
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

See every abbreviation used in this directory →

Practice location Address checks out

111 Peterson Ave
South Pasadena, CA 91030-4032
Phone: (570) 798-3490
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence OC018225 (PA)

Record details

NPI number1063172997
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorYes
NPI enumeratedDecember 20, 2021
Last updated in NPPESJune 3, 2026
Certification dateJune 3, 2026