Individual
MS. KERRY I. MCKINNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
22 MASONIC AVE, WALLINGFORD, CT 06492-3048
(203) 679-6328
Mailing address
21 FAIRVIEW ST, PORTLAND, CT 06480-1552
(860) 342-4654
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
000757
CT
Other
Enumeration date
09/03/2008
Last updated
09/03/2008
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