Individual
MRS. AMY ROCHELLE KINKADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
901 W 24TH ST, YUMA, AZ 85364-6384
(928) 726-5000
Mailing address
2150 E 25TH PL, YUMA, AZ 85365-3243
(928) 271-9927
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3703
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1055052
NATIONAL
—
01
—
3703
STATE
AZ
Enumeration date
09/24/2007
Last updated
09/24/2007
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