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Individual

MCKENZIE BROCKWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTD, OTR/L

Contact information

Practice address
4603 TIMBERWALK CT, LA GRANGE, KY 40031-6746
(502) 235-2428
Mailing address
701 ACORN LN, JEFFERSONVILLE, IN 47130-5601
(502) 835-3479

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
297617
KY

Other

Enumeration date
02/07/2025
Last updated
02/07/2025
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