Individual
ABBEY MAKENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
750 E LOUISIANA ST, SAINT CROIX FALLS, WI 54024-9501
(715) 483-9815
Mailing address
503 PRAIRIE RD, NEW RICHMOND, WI 54017-1282
(715) 554-2414
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
403869
NBCOTA
—
Enumeration date
07/09/2018
Last updated
04/25/2022
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