Evangeline Madison Mckenzie, OT

NPI #1063223808 in Canton, Michigan

Provider Information

NPI Number: 1063223808
Entity Type: Individual
Name: Evangeline Madison Mckenzie, OT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OT
Enumeration Date: Jan 20, 2025
Last Updated: Jan 20, 2025

Practice Location

Address: 5969 N CANTON CENTER RD
City: Canton
State: Michigan
ZIP Code: 48187-2757
Phone: (877) 407-3422

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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