Individual
MRS. KIMBERLY DONALDSON BRINCKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTAL
Contact information
Practice address
45 MCCLURG RD, BOARDMAN, OH 44512-6737
(330) 729-1484
Mailing address
70 MAPLE ST, CANFIELD, OH 44406-1326
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA1432
OH
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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