Individual
MACKYNZEE BALBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
LIFESPAN THERAPY, 118 MEDICAL DRIVE, CARMEL, IN 46032
(317) 844-4211
Mailing address
9104 E COUNTY ROAD 1850 N, FERDINAND, IN 47532-7581
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
01/26/2023
Last updated
01/26/2023
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