Individual
MACKENZIE MACWEBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
7960 CENTER ST, MENTOR, OH 44060-7863
(440) 255-0828
Mailing address
6714 GEORGETOWN LN, MADISON, OH 44057-2173
(810) 347-1002
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT012322
OH
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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