Individual
STACEY MAKOSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8380 NC HIGHWAY 87, REIDSVILLE, NC 27320-8898
(336) 616-1955
Mailing address
1122 IVANHOE RD, MOUNT VERNON, IA 52314-9667
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6436
NC
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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