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Individual

MAXIAN MCKINNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
X
Credential
COTA/L

Contact information

Practice address
4105 BRIARGATE PKWY STE 300B, COLORADO SPRINGS, CO 80920-3487
(719) 600-2075
Mailing address
1004 N WAHSATCH AVE, COLORADO SPRINGS, CO 80903-2414
(918) 576-3107

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.0001876
CO

Other

Enumeration date
06/19/2025
Last updated
06/19/2025
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