Individual
MS. VANESSA REA MACKAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1200 1ST ST NE, WASHINGTON, DC 20002-3361
(843) 801-5063
Mailing address
PO BOX 894, FOLLY BEACH, SC 29439-0894
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
06382
MD
225X00000X
Occupational Therapist
10473
CA
225XP0200X
Pediatric Occupational Therapist
Primary
OT010000758
DC
Other
Enumeration date
09/15/2011
Last updated
10/23/2013
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