Individual
MACKENZIE MARTHA BROKAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
975 KIRMAN AVE, RENO, NV 89502-0993
(775) 786-7200
Mailing address
975 KIRMAN AVE, RENO, NV 89502-0993
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
OT-3060
NV
Other
Enumeration date
04/21/2026
Last updated
04/21/2026
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