Individual
MAKENZIE RAE HULBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2114 N ZARAGOZA RD, EL PASO, TX 79938-8122
(915) 271-8030
(915) 257-3511
Mailing address
7241 SACHET CLIFF DR, EL PASO, TX 79934-3161
(660) 221-9053
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215735
TX
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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