Individual
COLLEEN MACKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
771 MILLBRIDGE APTS, CLEMENTON, NJ 08021-5556
(856) 286-4341
(856) 821-4250
Mailing address
771 MILLBRIDGE APTS, CLEMENTON, NJ 08021-5556
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/30/2013
Last updated
12/30/2013
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