Individual
MRS. PEGGY LEE MAKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.O.T.A.
Contact information
Practice address
3001 S JACKSON ST, SAN ANGELO, TX 76904-5129
(325) 223-6320
Mailing address
90 PRIVATE ROAD 931, RICHLAND SPRINGS, TX 76871-8815
(940) 872-7354
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
208514
TX
Other
Enumeration date
03/15/2007
Last updated
08/06/2015
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