Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 111230 | TX |
NPI | 1053556845 |
---|---|
Provider Name | Yvonne Mckinley |
First Address | San Antonio, TX 78201-5159 |
Second Address | San Antonio, TX 78201-5159 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/12/2008 |
Last Update Date | 08/12/2008 |