Individual
MCKENZI ELLIS EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2710 MARKET ST, WILMINGTON, NC 28403-1218
(910) 662-8135
(910) 667-8666
Mailing address
PO BOX 936857, ATLANTA, GA 31193-6857
(910) 662-8135
(910) 667-8666
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12327
NC
Other
Enumeration date
04/08/2019
Last updated
08/25/2021
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