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Individual

MACKENZIE N POWERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTT

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT0000006124
TN
225X00000X
Occupational Therapist
Primary
OTR3683
AR

Other

Enumeration date
01/24/2019
Last updated
02/22/2024
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