Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mackenzie Catharine Gibbon, OTR/L

Individual provider Occupational Therapist · NPI 1164285888

Mackenzie Catharine Gibbon, OTR/L is an Occupational Therapist in Wake Forest, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2024
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

616 Dr Calvin Jones Hwy
Wake Forest, NC 27587-3105
Phone: (919) 673-4246
Fax: (877) 828-3925
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 16567 (NC)

Record details

NPI number1164285888
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorYes
NPI enumeratedFebruary 5, 2024
Last updated in NPPESFebruary 5, 2024
Certification dateFebruary 5, 2024

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