Individual provider · Type 1 NPI
Marie Macaraeg Kofnovec, COTA
Pediatric Neurodevelopmental Disabilities Physician · Keller, TX
Practice location
630 Stoneglen Dr Ste B
Keller, TX 76248-3626
Fax (817) 717-8584
Mailing address
5724 Hunters Bend Ln
Dallas, TX 75249-2303
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Neurodevelopmental Disabilities Physician Primary | 2080P0008X | 224Z00000X (TX) |
Pediatric Neurodevelopmental Disabilities Physician: A pediatrician who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions.
4 other providers at this address
- Allison N. Mills, M.S., CCC-SLPSpeech-Language Pathologist Keller, TX NPI 1295246817
- Carly Mae Smith, OTROccupational Therapist Keller, TX NPI 1720747173
- Grace V. Greene, M.S., CCC-SLPSpeech-Language Pathologist Keller, TX NPI 1225611775
- Melissa DaileySpeech-Language Pathologist Keller, TX NPI 1043841695
About NPI 1801553110
Marie Macaraeg Kofnovec, COTA's National Provider Identifier is 1801553110, issued on Nov 22, 2021. The primary taxonomy on file is Pediatric Neurodevelopmental Disabilities Physician (2080P0008X), and the practice location is in Keller, TX. The record was last updated on Nov 22, 2021.