Individual
MACKENZIE GLUEK KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
3395 PLYMOUTH RD, MINNETONKA, MN 55305-3633
(952) 939-0396
Mailing address
3395 PLYMOUTH RD, MINNETONKA, MN 55305-3633
(952) 939-0396
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5735
MN
Other
Enumeration date
08/26/2019
Last updated
08/26/2019
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