Individual
KELLY MACKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29 MARION AVE, NORWAY, ME 04268-5601
(207) 743-7075
Mailing address
29 MARION AVE, NORWAY, ME 04268-5601
(207) 743-7075
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PA1836
ME
Other
Enumeration date
04/29/2015
Last updated
04/29/2015
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