Individual
MACKENZIE MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
235 WEALTHY ST SE, GRAND RAPIDS, MI 49503-5247
(800) 528-8989
Mailing address
235 WEALTHY ST SE, GRAND RAPIDS, MI 49503-5247
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201013653
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5201013653
BOARD OF OCCUPATIONAL THERAPISTS OCCUPATIONAL THERAPIST LICENSE
MI
Enumeration date
10/02/2023
Last updated
10/02/2023
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