Individual
MISS T'KARA LYNEES MCKINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1120 VIA CALLEJON, STE B, SAN CLEMENTE, CA 92673-6213
(949) 498-5100
(949) 366-5665
Mailing address
1120 VIA CALLEJON, STE B, SAN CLEMENTE, CA 92673
(949) 498-5100
(949) 366-5665
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3508
CA
376K00000X
Nurse's Aide
00830163
CA
Other
Enumeration date
10/03/2016
Last updated
10/03/2016
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