Individual
KERI-ANNE MACKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
11 KILLIAN LN, CHARLES TOWN, WV 25414-4889
(774) 280-6935
Mailing address
2720 CHARLES TOWN RD, MARTINSBURG, WV 25405-5626
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
002347
WV
Other
Enumeration date
11/17/2021
Last updated
11/17/2021
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