Individual
JEAN MARIE MACKINLAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
915 WHITNEY LN, MAPLE GLEN, PA 19002-2933
(215) 283-2984
Mailing address
915 WHITNEY LN, MAPLE GLEN, PA 19002-2933
(215) 283-2984
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP00823
PA
Other
Enumeration date
11/10/2014
Last updated
11/10/2014
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