Individual
MACKENZIE SKELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
300 W 21ST ST, RUSSELLVILLE, AR 72801-7321
(479) 747-5035
Mailing address
300 W 21ST ST, RUSSELLVILLE, AR 72801-7321
(479) 747-5035
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1217
AR
Other
Enumeration date
06/27/2020
Last updated
06/27/2020
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