Individual
MARK ANTHONY BAJKOWSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
1555 W BUSINESS 380, DECATUR, TX 76234-3216
(907) 781-7823
Mailing address
4413 LARNER ST, THE COLONY, TX 75056-3173
(862) 258-5313
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215161
TX
Other
Enumeration date
12/26/2018
Last updated
12/26/2018
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