MACKENZIE NICOLE SMALL

CORVALLIS, OR
NPI1982142642
Former NameMACKENZIE NICOLE ENTRIKIN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: OR  62022)
Enumeration Date2017-02-02
Last Update Date2021-03-15
Business Address
Ms. MACKENZIE NICOLE SMALL PT, DPT
815 NW 9TH ST STE 180
CORVALLIS, OR 97330-6173
Phone number: 541-768-5157
Mailing Address
Ms. MACKENZIE NICOLE SMALL PT, DPT
PO BOX 1189
CORVALLIS, OR 97339-1189
Phone number:
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