# MRS. MAUD MAKONI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1962529867
- **Gender:** F
- **Credential:** OTR,SIPT-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | 056005850 | IL | Yes |

## Other

- **Enumeration date:** 03/23/2007
- **Last updated:** 07/17/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 692738322001 | — | IL |