Individual
MISS MACKENZIE ANN SCOUTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1 ADLER DR, EAST SYRACUSE, NY 13057-1223
(315) 469-1189
(315) 492-0548
Mailing address
1 ADLER DR, EAST SYRACUSE, NY 13057-1223
(315) 469-1189
(315) 492-0548
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
013120-1
NY
Other
Enumeration date
12/11/2008
Last updated
12/11/2008
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