Individual
MACKENZIE FRIEBERTSHAUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT OTR/L
Contact information
Practice address
14077 CEDAR RD STE LL6A&C, CLEVELAND, OH 44118-3338
(216) 223-8761
Mailing address
5247 WILSON MILLS RD # 126, RICHMOND HTS, OH 44143-3016
(216) 223-8761
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT011911
OT LICENSE
OH
Enumeration date
08/22/2022
Last updated
08/22/2022
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