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Individual

MACKENZIE WHITTET

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
500 CUMMINGS CTR, SUITE 3850, BEVERLY, MA 01915-6142
(978) 232-0332
Mailing address
500 CUMMINGS CTR, SUITE 3850, BEVERLY, MA 01915-6142

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
293541
MA
224Z00000X
Occupational Therapy Assistant
Primary
3629
MA

Other

Enumeration date
12/28/2012
Last updated
03/18/2014
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