MACKENZIE LANE

MERRITT ISLAND, FL
NPI1144793167
Former NameMACKENZIE MIKOLAJCZYK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: FL  PTT34299)
Enumeration Date2019-01-03
Last Update Date2019-07-11
Business Address
MACKENZIE LANE DPT
1395 N COURTENAY PKWY STE 102
MERRITT ISLAND, FL 32953
Phone number: 321-986-8812
Mailing Address
MACKENZIE LANE DPT
1395 N COURTENAY PKWY STE 102
MERRITT ISLAND, FL 32953-4474
Phone number: 321-986-8812