Individual
KEVIN BRADY ACCINELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
1023 6TH AVE SW, ALBANY, OR 97321-1917
(541) 926-8664
Mailing address
635 34TH AVE SE APT 4, ALBANY, OR 97322-3803
(541) 404-3620
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
443811
OR
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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