Individual
TIMOTHY DE JONGHE KENNEY CAPPADONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1650 SW 45TH PL, CORVALLIS, OR 97333-1768
(541) 757-8068
Mailing address
1650 SW 45TH PL, CORVALLIS, OR 97333-1768
(541) 757-8068
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
502875
OR
225XP0200X
Pediatric Occupational Therapist
502875
OR
Other
Enumeration date
05/09/2012
Last updated
11/09/2023
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