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Mackenzie Renee Frazier, OT

Occupational Therapist in Frederick, MD. Individual provider (NPI-1).

NPI number1417469883
StatusActive
Last updated in NPPESJan 31, 2018

Details

NPI
1417469883
Entity type
Individual (NPI-1)
Name
Mackenzie Renee Frazier
Credential
OT
Sex
Female
Sole proprietor
No
Enumeration date
Oct 25, 2017
Last updated
Jan 31, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist08300MDYes

Practice location

86 Thomas Johnson Ct
Frederick, MD 21702-4348

Phone 301-694-8311 · Fax 301-694-3537

Mailing address

3131 Hawks Hill Ln
Keedysville, MD 21756-1813

Phone 240-818-7153

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