Individual
MACKENZIE ROSE WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR
Contact information
Practice address
714 E KIMBROUGH ST, MESQUITE, TX 75149-4420
(254) 458-8004
Mailing address
222 GOLD FINCH DR, RICHARDSON, TX 75081-3905
(254) 458-8004
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
125707
TX
Other
Enumeration date
04/13/2026
Last updated
04/13/2026
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