Individual
JESSICA MCKINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2432 ALBANY AVE, WEST HARTFORD, CT 06117-2503
(860) 236-3557
Mailing address
4 BIRCHWOOD TER, ENFIELD, CT 06082-2733
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
003555
CT
Other
Enumeration date
07/23/2009
Last updated
07/23/2009
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