Individual
MACKENZIE HUGHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
750 BROWER RD, LIMA, OH 45801-2515
(419) 227-2611
Mailing address
2889 COUNTY ROAD 80, ALGER, OH 45812-9639
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA011868
OH
Other
Enumeration date
09/22/2021
Last updated
09/22/2021
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