Individual
MCKENZIE SANBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
109 WIND HAVEN DR, SUITE 100, NICHOLASVILLE, KY 40356-8010
(859) 224-2273
(859) 224-4675
Mailing address
109 WIND HAVEN DR, SUITE 100, NICHOLASVILLE, KY 40356-8010
(859) 224-2273
(859) 224-4675
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
168150
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100413640
—
KY
Enumeration date
06/08/2016
Last updated
05/04/2017
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