Individual
MACKENZIE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1570 N MAIN ST, SPANISH FORK, UT 84660-1006
(801) 210-9319
Mailing address
612 MONTEREY DR, OREM, UT 84057-3928
(720) 438-0964
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
12557409-4201
UT
Other
Enumeration date
01/20/2022
Last updated
01/20/2022
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