Individual
MACKENZIE LYNN KOMRIJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2838 E 101ST ST, TULSA, OK 74137-5601
(918) 808-9749
Mailing address
10153 S HUDSON AVE, TULSA, OK 74137-6009
(707) 849-0987
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2040
OK
Other
Enumeration date
06/29/2016
Last updated
06/29/2016
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