Individual
SANDI CARLINE MCKINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
804 E MAIN ST, WEST POINT, MS 39773-3137
(662) 494-3640
Mailing address
3936 GRADY RD, EUPORA, MS 39744-2324
(662) 258-2426
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
TA2207
MS
Other
Enumeration date
01/18/2011
Last updated
01/18/2011
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