Gravelyn, Mackenzie

Gravelyn, Mackenzie is an sole proprietor health care provider with primary practice located at 10881 Marsh Ave , Allendale MI 49401-9808. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Gravelyn, Mackenzie can be contacted via phone (616) 502-4613.

Contact Information

Primary practice address
10881 Marsh Ave Allendale MI 49401-9808
Phone: (616) 502-4613
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 5201010840 Michigan

Profile Details

NPI number 1578179065
LBN Legal business name Gravelyn, Mackenzie
Credentials OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2020
Last updated Sep 20th, 2020 - about 5 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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