Provider Demographics
NPI:1770174674
Name:VICTORIA MACKINDER, OTR/L, LLC
Entity type:Organization
Organization Name:VICTORIA MACKINDER, OTR/L, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MACKINDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-720-5882
Mailing Address - Street 1:10030 STONECHASE CT
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89521-7265
Mailing Address - Country:US
Mailing Address - Phone:177-572-0588
Mailing Address - Fax:
Practice Address - Street 1:10030 STONECHASE CT
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89521-7265
Practice Address - Country:US
Practice Address - Phone:177-572-0588
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-02
Last Update Date:2021-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty