Individual
MACKINSEY ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
926 E E ST, HASTINGS, NE 68901-6617
(402) 463-3181
Mailing address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
901094
NE
Other
Enumeration date
06/22/2015
Last updated
06/22/2015
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