Individual
MAKENZEE WRAYANN NOWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
404 MOORHEN CV, LEANDER, TX 78641-1889
(559) 960-3691
Mailing address
404 MOORHEN CV, LEANDER, TX 78641-1889
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
218955
TX
Other
Enumeration date
07/14/2026
Last updated
07/14/2026
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