Individual
MISS LORAINE JUANITA MCKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10427 107TH ST, OZONE PARK, NY 11417-2314
(718) 845-8565
Mailing address
10427 107TH ST, OZONE PARK, NY 11417-2314
(718) 845-8565
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
005294
NY
Other
Enumeration date
06/19/2007
Last updated
07/08/2007
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