Individual
MRS. MCKENZIE FUCHIGAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
763 MARLANDWOOD RD, TEMPLE, TX 76502-3573
(254) 771-5950
Mailing address
1203 IRON GLEN DR, TEMPLE, TX 76502-2162
(435) 225-3065
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2146450
TX
Other
Enumeration date
11/11/2020
Last updated
11/11/2020
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