Individual
MACKENZIE ELLEN VANDERBLOOMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
2206 SPEDALE CT STE 6, SPRING HILL, TN 37174-6138
(615) 220-5796
Mailing address
909 EDMONSON CIR, NASHVILLE, TN 37211-7227
(920) 242-3672
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7411
TN
Other
Enumeration date
09/06/2022
Last updated
09/06/2022
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