Individual
KIMBERLY CANINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
4120 KURTH ST S, SALEM, OR 97302-2724
(503) 581-8667
Mailing address
20043 BADGER RD, BEND, OR 97702-2570
(619) 913-0284
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
OR
Other
Enumeration date
02/06/2008
Last updated
02/06/2008
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