Individual
MALLORY MCKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1201 BROAD ROCK BLVD, RICHMOND, VA 23224-4915
(804) 675-5000
Mailing address
1201 BROAD ROCK BLVD, RICHMOND, VA 23224-4915
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119007220
VA
Other
Enumeration date
04/07/2017
Last updated
04/07/2017
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