Individual
SIDNEY MCKINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
919 WHITE AVE, MULLENS, WV 25882-1544
(304) 890-1043
Mailing address
919 WHITE AVE, MULLENS, WV 25882-1544
(304) 890-1043
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP010295
PA
Other
Enumeration date
07/13/2022
Last updated
07/13/2022
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