Salvador Cano Camacho, OT

NPI #1962256610 in Chubbuck, Idaho

Provider Information

NPI Number: 1962256610
Entity Type: Individual
Name: Salvador Cano Camacho, OT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OT
Enumeration Date: Apr 17, 2024
Last Updated: Apr 17, 2024

Practice Location

Address: 265 E CHUBBUCK RD STE A
City: Chubbuck
State: Idaho
ZIP Code: 83202-5055
Phone: (208) 417-0011

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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