Individual
MCKENZIE JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
13819 QUAIL POINTE DR, OKLAHOMA CITY, OK 73134-1066
(405) 467-6782
Mailing address
13814 CROSSING WAY E, EDMOND, OK 73013-4720
(918) 633-2524
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2323
OK
Other
Enumeration date
07/13/2021
Last updated
07/13/2021
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