Individual
MACKENZIE KATE CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902
(317) 338-2269
Mailing address
960 SAND HOLLOW DR, LEBANON, IN 46052-0040
(765) 481-7363
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31007174A
IN
225X00000X
Occupational Therapist
6065
TN
Other
Enumeration date
09/15/2020
Last updated
06/06/2025
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