Individual
AMANDA MACKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2579 OCEAN AVE FL 3, BROOKLYN, NY 11229-4552
(646) 780-0926
Mailing address
16425 109TH RD, JAMAICA, NY 11433-2915
(516) 808-3179
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
07/21/2022
Last updated
07/21/2022
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