Individual
MCKENZIE LEIGH MONINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
900 JUNCTION DR, ALLEN, TX 75013-5290
(469) 675-3153
Mailing address
532 SILVER MAPLE DR, IRVING, TX 75063-4209
(972) 824-3564
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
216683
TX
Other
Enumeration date
02/08/2021
Last updated
02/08/2021
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