Individual
SALVADOR CANO CAMACHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
265 E CHUBBUCK RD STE A, CHUBBUCK, ID 83202-5055
(208) 417-0011
(888) 437-2431
Mailing address
265 E CHUBBUCK RD STE A, POCATELLO, ID 83202-5055
(208) 417-0011
(888) 437-2431
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-2932
ID
Other
Enumeration date
04/17/2024
Last updated
04/17/2024
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