Whalio Doctors

NPI 1427736438

Mackenzie Owens

Practitioner Recreation Therapist Wake Forest, NC

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
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225800000X Licence 4537 (NC)

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.