Individual
DR. DOAN MACKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
12380 DE PAUL DR, BRIDGETON, MO 63044-2511
(314) 447-9700
Mailing address
1470 LINDSAY LN, FLORISSANT, MO 63031-4251
(718) 309-6183
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2022030883
MO
Other
Enumeration date
09/16/2022
Last updated
09/16/2022
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