Individual
MACKENZIE CATHARINE GIBBON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
616 DR CALVIN JONES HWY, WAKE FOREST, NC 27587-3105
(919) 673-4246
(877) 828-3925
Mailing address
616 DR CALVIN JONES HWY, WAKE FOREST, NC 27587-3105
(919) 673-4246
(877) 828-3925
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
16567
NC
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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