Individual
PATRICK A MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
610 GORDON ST, HARRINGTON, DE 19952-1217
(410) 822-4613
(410) 822-6534
Mailing address
11 E SARATOGA RD, MILFORD, DE 19963-2107
(410) 822-4613
(410) 822-6534
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
19521
MD
225100000X
Physical Therapist
Primary
J10000499
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000220726
—
DE
Enumeration date
11/03/2006
Last updated
07/08/2007
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