Doctor Name: | MS. SANDRA LUCILLE MCKINNON |
NPI Number: | 1699822783 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | PT 01187 |
Business Practice Address: | 111 Brewster St Pawtucket, RI - 028604474 |
Business Phone Number: | 4017292316 |
Business Fax Number: | 4017292680 |
Mailing Address: | 111 Brewster St, PAWTUCKET |
State: | RI |
Postal Code: | 028604474 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/04/2007 |
NPI Last Update Date: | 10/03/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT 01187 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | RI |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |