Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CANDACE HOLLY MACK, OTR/L
Active Sole ProprietorCANDACE HOLLY MACK, OTR/L is a Specialist healthcare provider located in WINTERS, California. NPI 1114204849 is currently active in the NPPES registry. Verify at CMS.
Specialist · WINTERS, CA
Registration Details
- NPI Number
- 1114204849
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 9, 2011 (14.801741166926 yrs)
- Last Updated
- Nov 9, 2011
- Licenses
-
12045 (CA)12045 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
428 MAIN STWINTERS, CA, 956941830Browse CA providers · Browse ZIP 95694
- Phone
- 5307946083
- Primary Specialty
-
Specialist
174400000X
- Additional Specialty
- Early Intervention Provider Agency
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.