Individual
MAKENZIE WIECIECH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
620 W MACPHAIL RD STE 105, BEL AIR, MD 21014-4474
(410) 399-9590
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 405-6356
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
09690
MD
Other
Enumeration date
07/12/2022
Last updated
07/12/2022
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