Most Relevant Information
Provider Data
| NPI Number: | 1003648924 |
| Provider Name: | MAKENZIE COOK OTR/L |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 029083-01 |
Most Important Dates
| Enumeration Date: | 08/19/2024 |
| Last Updated: | 08/19/2024 |
Provider Practice Location
3391 RICHMOND AVE
STATEN ISLAND
NY
103122025
Practice Location Phone/Fax
| Phone: | 7186089170 |
| Fax: |
Provider Mailing Location
45 WALL ST APT 1707
NEW YORK
NY
100051921
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |