Individual
MCKENZIE SUE WILLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
300 N HOSPITAL DR, PRICE, UT 84501-4218
(435) 637-4800
Mailing address
PO BOX 243, WELLINGTON, UT 84542-0243
(435) 559-0096
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
11822534-4202
UT
Other
Enumeration date
07/10/2020
Last updated
07/10/2020
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