Individual
MCKENZIE D MACALLISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L CPAM
Contact information
Practice address
1715 FRIENDSHIP CIR, CUMMING, GA 30028-6917
(770) 240-0163
Mailing address
51 TIMBER WALK, DAWSONVILLE, GA 30534-5337
(770) 377-5200
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT005764
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
315531
NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY
—
01
—
GA005764
GEORGIA SECRETARY OF STATE OCCUPATIONAL THERAPY LICENSING BOARD
GA
Enumeration date
03/08/2021
Last updated
03/08/2021
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