Individual
MACKENZIE NICOLE CONSEVAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4310 LONDONDERRY RD, 2ND FLOOR, HARRISBURG, PA 17109-5302
(717) 657-7520
Mailing address
820 SIR THOMAS CT, HARRISBURG, PA 17109-4839
(717) 724-4870
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC019139
PA
Other
Enumeration date
12/12/2021
Last updated
05/14/2025
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