Individual
MACKENZIE ELISE GRENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
100 E LE FEVRE RD, STERLING, IL 61081-1279
(815) 625-0400
Mailing address
28598 2400 EAST ST, LA MOILLE, IL 61330-9597
(815) 200-5213
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.013125
IL
Other
Enumeration date
07/30/2019
Last updated
12/09/2025
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