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

Nicole Vicencio

Individual provider Occupational Therapist · NPI 1790261170

Nicole Vicencio is an Occupational Therapist in Shelby Township, Michigan. Practices as a sole proprietor. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

7401 22 Mile Rd
Shelby Township, MI 48317-2307
Phone: (586) 580-5500
Show map & directions

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

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X

Record details

NPI number1790261170
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 18, 2018
Last updated in NPPESJuly 18, 2018

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