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Taniesha Mckinley
Rehabilitation Practitioner in Fairfield, California
NPI 1770009821

Taniesha Mckinley is a Rehabilitation Practitioner based in San Rafael, CA. Taniesha Mckinley practices in Fairfield, CA. The NPI Number for Taniesha Mckinley is 1770009821 and holds a License No. (California).

The current practice location address for Taniesha Mckinley is 2101 Courage Dr., Fairfield, CA and can be reached out via phone at 707-639-4680.

Location: 2101 Courage Dr., Fairfield, CA, 94901-3003
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770009821
Provider Name
Taniesha Mckinley
Credential
Provider Entity Type
Individual
Gender
Female
Address
2101 Courage Dr., Fairfield, CA, 94901-3003
Phone Number
707-639-4680
Fax Number
Provider Enumeration Date
08/21/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2101 Courage Dr.
City
Fairfield
State
California
Zip
94533
Phone Number
707-639-4680
Fax Number
person
Provider Business Mailing Address Details
Address
2101 Courage Dr.
City
Fairfield
State
California
Zip
94533
Phone Number
707-639-4680
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
225400000X
License No.
()
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
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