Individual
MACKENZIE LUDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1717 N STOUGHTON RD, MADISON, WI 53704-2605
(608) 838-8999
Mailing address
1717 N STOUGHTON RD, MADISON, WI 53704-2605
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
729726
WI
Other
Enumeration date
05/16/2022
Last updated
05/16/2022
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