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Mackenzie Cobb, COTA/L

Occupational Therapy Assistant in Stamford, CT. Individual provider (NPI-1).

NPI number1922532860
StatusActive
Last updated in NPPESApr 18, 2017

Details

NPI
1922532860
Entity type
Individual (NPI-1)
Name
Mackenzie Cobb
Credential
COTA/L
Sex
Female
Sole proprietor
No
Enumeration date
Apr 18, 2017
Last updated
Apr 18, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
224Z00000X Occupational Therapy Assistant001779CTYes

Practice location

78 Harvard Ave
Suite 220
Stamford, CT 06902-5548

Phone 203-422-2193

Mailing address

78 Harvard Ave
Suite 220
Stamford, CT 06902-5548

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