Individual
MACKENZIE MADDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8124 S TRYON ST UNIT A4, CHARLOTTE, NC 28273-3379
(980) 217-4171
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 558-0076
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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