Individual
ALEXIS NICOLE GROCE MACKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
2015 SANDBOX RD, HARRINGTON, DE 19952-2666
(302) 535-3164
Mailing address
2015 SANDBOX RD, HARRINGTON, DE 19952-2666
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
U1-0001958
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
U1-0001958
STATE OF DELAWARE
DE
Enumeration date
10/08/2018
Last updated
09/15/2023
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