Individual
MACKENZIE MARIE TALDONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
10810 SANDY OAK LN, RALEIGH, NC 27614-8386
(919) 848-2088
Mailing address
4131 BRIARGROVE CIR APT 205, RALEIGH, NC 27607-6583
(847) 222-3710
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
13702
NC
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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