Lee Ann Mckinzie PTA

NPI 1104097336 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1104097336
Gender Female
Enumeration Date 03/15/2008
Last Updated 03/15/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
208 ZACHERY DR
MOUNT VERNON IL, 62864-6712, US
Phone (618) 244-5580
Fax
Business Location
7357 E CASABLANCA RD
MOUNT VERNON IL, 62864-7342, US
Phone (618) 735-2828
Fax
Toxanomy
Taxonomy Code 225200000X
License State
License Number
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According to our database, Mrs. Lee Ann Mckinzie PTA NPI is 1104097336, taxonomy code is 225200000X Lee Ann Mckinzie PTA physically located at 208 Zachery Dr, Mount Vernon IL, 62864-6712. NPI Number Lee Ann Mckinzie PTA has the Individual type.

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1104097336 NPI number is provided on an as is basis without warranty of any kind. 1104097336 is maintained by the National Plan & Provider Enumeration System. The contents of Lee Ann Mckinzie PTA are for informational purposes only.