| NPI | 1609836675 |
|---|---|
| Former Name | WENDY KAY MCKINNEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1112365) |
| Additional Taxonomies | 225CA2400X Rehabilitation Counselor, Assistive Technology Practitioner (Licence: TX 92969) |
| 247200000X | |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2023-06-30 |