Individual
MRS. LEE ANN MCKINZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
208 ZACHERY DR, MOUNT VERNON, IL 62864-6712
(618) 244-5580
Mailing address
7357 E CASABLANCA RD, MOUNT VERNON, IL 62864-7342
(618) 735-2828
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
IL
Other
Enumeration date
03/15/2008
Last updated
03/15/2008
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