Individual
JON C MACKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
201 NE PARK PLAZA DR, SUITE 246, VANCOUVER, WA 98684-5808
(360) 427-3880
Mailing address
201 NE PARK PLAZA DR, SUITE 246, VANCOUVER, WA 98684-5808
(360) 427-3880
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
00003184
WA
Other
Enumeration date
06/07/2008
Last updated
06/07/2008
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