Individual
MACKENZIE MULDOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
757 UNIVERSITY CITY BLVD, BLACKSBURG, VA 24060-2705
(540) 641-2998
Mailing address
3955 MOUNT TABOR RD, BLACKSBURG, VA 24060-0427
(540) 641-2998
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305214693
VA
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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