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NPI Code Detail

MEDICARE: MACKENZIE ELIZABETH COLTART OTR

MEDICARE: MACKENZIE ELIZABETH COLTART OTR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist03074101NY

General Provider Information

NPI Number : 1437005790
Entity Type Code : Individual
Provider Name (Legal Business Name) : MACKENZIE ELIZABETH COLTART OTR
Provider Business Mailing Address
First Line : 100 PARK ST
Second Line :
City : GLENS FALLS
State : NY
Zip : 12801-4447
Country : US
Telephone Number : 518-926-1000
Fax Number : 518-926-2012
Provider Business Practice Location Address
First Line : 100 PARK ST
Second Line :
City : GLENS FALLS
State : NY
Zip : 12801-4447
Country : US
Telephone Number : 518-926-1000
Fax Number : 518-926-2012
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2026
Last Update Date : 03/09/2026

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Directions to “ MACKENZIE ELIZABETH COLTART OTR” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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