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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. DYWANA CAROLYN MACK, PTA

Active

MRS. DYWANA CAROLYN MACK, PTA is a Occupational Therapist healthcare provider located in CARSON, California. NPI 1538375167 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · CARSON, CA

Registration Details

NPI Number
1538375167
Provider Type
Individual
Gender
Female
NPI Issued
May 14, 2007 (19.226163512342 yrs)
Last Updated
Jul 8, 2007
License
AT 3079 (CA)

Practice Information

Address
1 CIVIC PLAZA DR
SUITE 625
CARSON, CA, 907452243
Browse CA providers · Browse ZIP 90745
Phone
3105494500
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in CARSON, CA

Name Credential NPI
MELOUNIE PALANA CROCKER 1225231780
MR. RICK EGGERT P.T.A 1235308552
MS. LINETTE AINE LORD PTA 1154630945
SANDY MAURICIO 1255720652
ROBERT ANDRES 1245605369
LIEZEL CAOILE 1992162309
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.