Individual
MCKENZIE RAE ERNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14025 PERUGIA WAY APT 208, CHARLOTTE, NC 28273-7212
(330) 741-1069
Mailing address
724 W RIVER RD, VALLEY CITY, OH 44280-9303
(330) 741-1069
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
15671
NC
225X00000X
Occupational Therapist
OT012174
OH
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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