KATHRYN KINCANNON

TITUSVILLE, FL
NPI1083985535
Former NameKATHRYN RUEHS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: FL  OTA11230)
Enumeration Date2012-01-14
Last Update Date2012-01-14
Business Address
KATHRYN KINCANNON COTA/L
1550 JESS PARRISH CT
TITUSVILLE, FL 32796-2147
Phone number: 321-269-1894
Mailing Address
KATHRYN KINCANNON COTA/L
1427 HAMPTON PARK LN
MELBOURNE, FL 32940-8145
Phone number: