Individual
SANDRA LEE MCKINLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
4512 CHAPMAN HWY, KNOXVILLE, TN 37920-4359
(865) 577-7779
(865) 577-7279
Mailing address
425 FERRET RD, KNOXVILLE, TN 37934-4036
(865) 671-8499
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3656675
—
TN
01
—
4110402
BCBST
TN
Enumeration date
05/25/2006
Last updated
08/01/2007
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