Individual
KELLY GRACE MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1500 SAWMILL RD, RALEIGH, NC 27615-4320
(919) 870-9322
Mailing address
2509 BRIGHTHAVEN DR, RALEIGH, NC 27614-8806
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4832
NC
Other
Enumeration date
12/08/2008
Last updated
12/08/2008
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