Individual
JOY KINKAID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
2121 NE 139TH ST, MOB A SUITE 200, VANCOUVER, WA 98686-2316
(503) 413-3900
(503) 413-3710
Mailing address
PO BOX 2077, PORTLAND, OR 97208-2077
(503) 413-3900
(503) 413-3710
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00003531
WA
Other
Enumeration date
11/05/2007
Last updated
11/05/2007
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