Individual
MRS. MACKENZIE LYNN QUERTERMOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1395 S HURON RD, KAWKAWLIN, MI 48631-9485
(989) 684-3210
Mailing address
28 WESTSIDE SAGINAW RD # 1, BAY CITY, MI 48706-3450
(989) 482-1200
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202008633
MI
Other
Enumeration date
08/19/2020
Last updated
08/19/2020
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