# KEVIN CARL MANABE CORIANO

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kevin Coriano - DPT
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124630850
- **Authorized official:** KEVIN CARL MANABE CORIANO (PHYSICAL THERAPIST)
- **Authorized official phone:** (907) 441-0239

## Contact information

- **Practice address:** 631 JASON ST NE, SALEM, OR 97301-2357
- **Practice address phone:** (971) 273-0084
- **Practice address fax:** (971) 701-6224
- **Mailing address:** 631 JASON ST NE, SALEM, OR 97301-2357
- **Mailing address phone:** (971) 273-0084

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/24/2020
- **Last updated:** 04/21/2021