Individual
MACKENZIE HAMBLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
850 COUNTRY MANOR LN, CREVE COEUR, MO 63141-6651
(314) 434-5900
Mailing address
850 COUNTRY MANOR LN, CREVE COEUR, MO 63141-6651
(314) 434-5900
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
MO
Other
Enumeration date
08/09/2020
Last updated
08/09/2020
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