Individual
MCKENZIE MORTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
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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