Individual
THERESE MCKINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
244 PAPA PLACE, 102, KAHULUI, HI 96732
(808) 873-7700
Mailing address
6 DARTMOUTH CT, TINTON FALLS, NJ 07724-9756
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1111
HI
225X00000X
Occupational Therapist
46TR00476800
NJ
Other
Enumeration date
09/01/2009
Last updated
08/18/2017
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