Individual
MARY ANNETTE MACKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
10725 LAWRENCE 1115, MOUNT VERNON, MO 65712-7437
(417) 466-7354
Mailing address
10725 LAWRENCE 1115, MOUNT VERNON, MO 65712-7437
(417) 466-7354
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2008015717
MO
Other
Enumeration date
11/17/2014
Last updated
11/17/2014
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