Individual
MACKENZIE MARTZAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
E7475 RAWHIDE RD, NEW LONDON, WI 54961-9025
(877) 300-9101
Mailing address
E7475 RAWHIDE RD, NEW LONDON, WI 54961-9025
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5754-27
WI
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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