Michael S Mckinnis JR., OT

NPI #1386930220 in Oak Creek, Wisconsin

Provider Information

NPI Number: 1386930220
Entity Type: Individual
Name: Michael S Mckinnis JR., OT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OT
Enumeration Date: Jun 20, 2011
Last Updated: Jun 20, 2011

Practice Location

Address: 8619 S HOWELL AVE
City: Oak Creek
State: Wisconsin
ZIP Code: 53154-2919
Phone: (414) 856-1888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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