Individual
MAKENZIE VANWINKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1355 N GREENFIELD RD, GILBERT, AZ 85234-2813
(833) 224-5538
(833) 424-5538
Mailing address
1355 N GREENFIELD RD, GILBERT, AZ 85234-2813
(833) 224-5538
(833) 424-5538
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH007542
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTH007542
LICENSE
AZ
Enumeration date
09/14/2020
Last updated
09/14/2020
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