Individual
DR. MACKENZIE LALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1349 E 79TH ST, CLEVELAND, OH 44103-2864
(216) 838-2976
Mailing address
8725 SUMMER WIND LN, MENTOR, OH 44060-1585
(203) 535-9382
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT020892
OH
Other
Enumeration date
02/19/2024
Last updated
02/19/2024
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