Individual
KERRY CANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
350 HAWTHORNE AVE, OAKLAND, CA 94609-3108
(774) 219-9575
Mailing address
1739 ADDISON ST APT 6, BERKELEY, CA 94703-1578
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17293
CA
Other
Enumeration date
01/10/2018
Last updated
01/10/2018
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