Hudson Mckinney, Mary
Hudson Mckinney, Mary is an individual health care provider with primary practice located at 12459 Lewis St Ste 102 , Garden Grove CA 92840-6606. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Hudson Mckinney, Mary can be contacted via phone (714) 703-8477.Contact Information
Primary practice address
12459 Lewis St Ste 102
Garden Grove CA 92840-6606
Phone: (714) 703-8477
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 11688 | California |
Profile Details
| NPI number | 1821164898 |
|---|---|
| LBN Legal business name | Hudson Mckinney, Mary |
| Credentials | DPT, NCS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 28th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821164898 | NPPES |
| California | Other | 11688 | PT LICENSE |
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