Individual
MACKENZIE RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
9150 W INDIAN SCHOOL RD STE 105, PHOENIX, AZ 85037-2385
(623) 500-2409
Mailing address
187 TOWNSHIP ROAD 1280, PROCTORVILLE, OH 45669-8683
(304) 417-1706
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH-008472
AZ
Other
Enumeration date
05/19/2021
Last updated
05/20/2021
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