Mackenzie Ann Lullo, AS, BAS, PTA

NPI #1063145712 in Wauconda, Illinois

Provider Information

NPI Number
1063145712
Entity Type
Individual
Name
Mackenzie Ann Lullo, AS, BAS, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Medicine & Rehabilitation - Pediatric Rehabilitation Medicine
Credential
AS, BAS, PTA
Enumeration Date
Jul 8, 2022
Last Updated
Jul 8, 2022

Practice Location

Address
23525 W MILTON RD
ZIP Code
60084-2619
Phone
(847) 438-5400

Specialties & Taxonomy Codes

Specialty
Physical Medicine & Rehabilitation - Pediatric Rehabilitation MedicinePediatric Rehabilitation Medicine

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