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Individual

BERTHA LEE MACKEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
9316 BOCA GARDENS PKWY, UNIT D, BOCA RATON, FL 33496-3768
(561) 866-4043
(561) 477-6976
Mailing address
9316 BOCA GARDENS PKWY, UNIT D, BOCA RATON, FL 33496-3768
(561) 866-4043
(561) 477-6976

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT3073
FL

Other

Enumeration date
02/23/2007
Last updated
07/08/2007
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