Individual
MRS. MARY SUE MACKAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
1806 S. 15TH ST, WILMINGTON, NC 28401
(910) 763-5431
Mailing address
3710 TUMBRIL LN, WILMINGTON, NC 28412-7204
(901) 799-5069
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
3682
NC
Other
Enumeration date
06/13/2007
Last updated
07/08/2007
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