Individual
MACKENZIE RENEE FRAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
86 THOMAS JOHNSON CT, FREDERICK, MD 21702-4348
(301) 694-8311
(301) 694-3537
Mailing address
3131 HAWKS HILL LN, KEEDYSVILLE, MD 21756-1813
(240) 818-7153
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
08300
MD
Other
Enumeration date
10/25/2017
Last updated
01/31/2018
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