Individual
DEBRA ANN KINKADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
72201 COUNTRY CLUB DR, RANCHO MIRAGE, CA 92270-4001
(790) 340-5999
Mailing address
78487 MAGENTA DR, LA QUINTA, CA 92253-6839
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1539
CA
Other
Enumeration date
08/06/2007
Last updated
08/06/2007
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