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Individual

MCKENZIE MORTENSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS OTR/L

Contact information

Practice address
1540 E HOSPITAL DR, ANN ARBOR, MI 48109-4000
(734) 936-4000
Mailing address
635 S MAPLE RD STE 2, ANN ARBOR, MI 48103-3838
(734) 369-6002

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
11840
NC
225X00000X
Occupational Therapist
Primary
5201012978
MI
225X00000X
Occupational Therapist
6475
AZ

Other

Enumeration date
02/22/2016
Last updated
11/21/2025
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