Maribeth Mackinnon, OTR

NPI #1144466939 in Peru, New York

Provider Information

NPI Number: 1144466939
Entity Type: Individual
Name: Maribeth Mackinnon, OTR
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Credential: OTR
Enumeration Date: Dec 28, 2008
Last Updated: Dec 28, 2008

Practice Location

Address: 2387 STATE ROUTE 22
City: Peru
State: New York
ZIP Code: 12972-4973
Phone: (518) 569-1523

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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