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NPI Code Detail

MEDICARE: YASMINE MCKENZIE OTR/L

MEDICARE:   YASMINE  MCKENZIE  OTR/L
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 TherapistOT21602FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487246633
Entity Type Code : Individual
Provider Name (Legal Business Name) : YASMINE MCKENZIE OTR/L
Provider Business Mailing Address
First Line : 2013 NW 12TH AVE
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33311-3607
Country : US
Telephone Number : 754-281-5260
Fax Number :
Provider Business Practice Location Address
First Line : 2013 NW 12TH AVE
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33311-3607
Country : US
Telephone Number : 754-281-5260
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2021
Last Update Date : 02/09/2021

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Directions to “ YASMINE MCKENZIE OTR/L” Practice Location

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