Individual
MCKENZIE FLORENE HAKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
24 CREE DR, LOCK HAVEN, PA 17745-2639
(570) 893-5100
Mailing address
1198 VALLEY VIEW RD, JERSEY SHORE, PA 17740-7045
(570) 660-8228
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP009656
PA
Other
Enumeration date
07/11/2019
Last updated
07/11/2019
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