Mackenzie, Tara

Mackenzie, Tara is an sole proprietor health care provider with primary practice located at 306 Snug Harbor Rd , Newport Beach CA 92663-5843. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Mackenzie, Tara can be contacted via phone (214) 288-4503.

Contact Information

Primary practice address
306 Snug Harbor Rd Newport Beach CA 92663-5843
Phone: (214) 288-4503
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 13460 California

Profile Details

NPI number 1346609609
LBN Legal business name Mackenzie, Tara
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2016
Last updated Feb 15th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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