Individual
MACKENZIE LYNN RICKERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
49 WALNUT PARK, BUILDING 3, WELLESLEY HILLS, MA 02481
(781) 239-0100
Mailing address
15 ADAMS ST APT 1, MEDFORD, MA 02155-5206
(401) 256-0644
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
13193
MA
Other
Enumeration date
06/21/2019
Last updated
06/21/2019
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