Individual
MACKENZIE RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
720 OLD CHEROKEE RD, LEXINGTON, SC 29072-9406
(803) 490-0960
(866) 464-4298
Mailing address
720 OLD CHEROKEE RD, LEXINGTON, SC 29072-9406
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5477
SC
Other
Enumeration date
12/09/2022
Last updated
12/09/2022
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