Individual
MAKENZIE SAKUMURA
Active
Individual
MAKENZIE SAKUMURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
OT19401
FL
225X00000X
Occupational Therapist
Primary
OT19401
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100932200
—
FL
05
—
102832100
—
FL
01
—
Y911W
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/20/2018
Last updated
05/04/2021
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