Individual
MACKENZIE NICOLE SWINEHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 SUNSET DR, NEWARK, NY 14513-1068
(315) 332-2700
Mailing address
212 BROOKSIDE DR, WATERLOO, NY 13165-1838
(315) 651-0542
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
—
—
Other
Enumeration date
05/18/2023
Last updated
05/18/2023
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