Individual
MS. JANE ELLEN MACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
60 OAK FOREST RD, BLUFFTON, SC 29910-5010
(610) 438-2020
Mailing address
20032 N CLEAR CANYON DR, SURPRISE, AZ 85374-4553
(970) 819-4583
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6214
SC
225X00000X
Occupational Therapist
7999
NC
Other
Enumeration date
08/21/2011
Last updated
08/16/2021
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