Individual
CAMILLE MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2395 WALL ST SE STE 290, CONYERS, GA 30013-6703
(470) 725-2509
Mailing address
2395 WALL ST SE STE 290, CONYERS, GA 30013-6703
(470) 725-2509
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT008074
GA
Other
Enumeration date
05/21/2021
Last updated
05/23/2021
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