Individual
ALLYSON CHRISTA MCKINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 LMMH CENTER ROAD, LOGAN, WV 25601
(304) 752-2273
Mailing address
PO BOX 334, PINEVILLE, WV 24874-0334
(304) 923-5115
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
C2180
WV
Other
Enumeration date
07/31/2018
Last updated
07/31/2018
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