Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARIE MACARAEG KOFNOVEC, COTA
ActiveNeurodevelopmental Disabilities · KELLER, TX
Registration Details
- NPI Number
- 1801553110
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 22, 2021 (4.4147817529701 yrs)
- Last Updated
- Nov 22, 2021
- License
-
224Z00000X (TX)
Practice Information
- Address
-
630 STONEGLEN DR STE BKELLER, TX, 762483626Browse TX providers · Browse ZIP 76248
- Phone
- 8177346515
- Fax
- 8177178584
- Primary Specialty
-
Neurodevelopmental Disabilities
2080P0008X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.