Individual
MARY JEAN MCKINNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1910 N CHURCH ST, SUITE D, GREENSBORO, NC 27405-5666
(336) 274-7480
(336) 274-8903
Mailing address
1910 N CHURCH ST, SUITE D, GREENSBORO, NC 27405-5666
(336) 274-7480
(336) 274-8903
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A5550
NC
Other
Enumeration date
03/02/2015
Last updated
03/02/2015
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