Provider Demographics
NPI:1043678386
Name:CAN DO KIDS
Entity type:Organization
Organization Name:CAN DO KIDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:PORCARO
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:509-521-7983
Mailing Address - Street 1:1730 HOXIE AVE
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99354-2322
Mailing Address - Country:US
Mailing Address - Phone:509-521-7983
Mailing Address - Fax:
Practice Address - Street 1:1730 HOXIE AVE
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99354-2322
Practice Address - Country:US
Practice Address - Phone:509-521-7983
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-01
Last Update Date:2016-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANC60319472225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical RehabilitationGroup - Multi-Specialty