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MISS MACKENZIE NYCOLE PRINTY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
10335 BELVAMERA RD, RICHMOND, TX 77407-2625
(281) 310-1163
Mailing address
8134 EDENWOOD DR, SPRING, TX 77389-4100
(281) 323-8563

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
216398
TX

Other

Enumeration date
09/21/2020
Last updated
09/21/2020
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