Individual
MACKENZIE EELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3498 GREEN VALLEY RD, RESCUE, CA 95672-9625
(530) 391-8670
Mailing address
360 SILBERHORN DR, FOLSOM, CA 95630-6851
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
18361
CA
Other
Enumeration date
02/09/2018
Last updated
02/09/2018
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