NPI 1427736438
Mackenzie Owens
Practice location
- Address
- 10205 San Remo Pl, Wake Forest, NC 27587-1624
- Phone
- (919) 438-2051
- Mailing address
- 1915 Alexander Springs Ln APT 2, Wake Forest, NC 27587-4032
Registered specialties
Recreation Therapist
Primary
Registry record
- NPI
- 1427736438
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 10 Jul 2023
- Record last updated
- 10 Jul 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.